Herschel Gene Shamblin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

134 Conner Dr
Charleston, WV 25302-1462

Phone

(304) 205-5730

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1194343764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CONNER DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021462",
            "telephone_number": "304-205-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CONNER DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021462",
            "telephone_number": "304-205-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "HERSCHEL",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Shalash
• Amy R Shaluta, BS
• Shreya Shambhavi, M.D.
• Samera Shamblen
• Brittany Shamblin
• Kristen D Shamblin, FNP-BC
• Lisa Shamblin
• Summer Shamblin
• Taylor Shamblin
• Trevor Allan Shamblin

• Case Manager/Care Coordinator in Charleston, WV
• Providers in Charleston, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.