Shynell Pearsall

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

51803601 Issued in PA

Practice address

5846 N Camac St
Philadelphia, PA 19141-4123

Phone

(267) 265-7020

NPI assigned

Nov 15, 2023

Last updated

Nov 15, 2023By the provider in NPPES

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

Locations

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

• Infinity Community Group Home

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1548083348
  NPD Authorized official
• Red Tree Home Care

  • Adult Care Home Facility
  • Philadelphia, PA
  • NPI 1932862802
  NPD Authorized official
• Red Tree Home Health Care

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1225803265
  NPD Authorized official

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1205601721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 N CAMAC ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191414123",
            "telephone_number": "267-265-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 N CAMAC ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191414123",
            "telephone_number": "267-265-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "SHYNELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "51803601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc (Pearle Vision #C6203)
• Leslie Carol Pearlman, D.M.D.
• Haley Pearlstein, D.O.
• Kenneth M Pearlstein, CRNA
• Matthew Franklin Pearsall, MD
• Kelly Pearson-Caravetta, CRNP
• Andrew Kenneth Pearson, DO
• Cara Emily Pearson, MD
• Christina Zavrotny Pearson, SLP
• Earl P Pearson, DMD

• Home Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.