Shenequa Morton

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

2018001448 Issued in MO

Practice address

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309

Phone

(314) 605-7302

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fulfilling Home Healthcare LLC

  • Home Health Agency
  • Florissant, MO
  • NPI 1437726171
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1205588142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERAMEC BLUFFS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213309",
            "telephone_number": "314-605-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERAMEC BLUFFS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213309",
            "telephone_number": "314-605-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "SHENEQUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MO",
            "license": "2018001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masarrath Jahan Moinuddin
• Kevin Moreno, DDS
• Morgenrote, LLC Dba Homewell Care Services Mo 0331
• Gretchen Leigh Morris, P.T.
• Tia Jenice Morris, MSW, ACSW, LCSW
• Daniel Charles Mulawa, PA-C
• Elizabeth Courtny Munger, R.N.
• Molly Paskal Murphy
• Timothy P. Murphy, M.D.
• Gina Marie Mydlo, DPT

• Long-Term Care Clinical Nurse Specialist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Long-Term Care Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.