Individual provider Active NPI

Shauneille Conner

  • Personal Care Attendant
  • Florissant, MO
National Provider Identifier
1225459092
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3445 Amblewood Dr
Florissant, MO 63033-3902
Phone
(314) 324-5404
Fax
(314) 478-8874
NPI assigned
Dec 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

3445 Amblewood Dr
Florissant, MO 63033-3902

Mailing address

3445 Amblewood Dr
Florissant, MO 63033-3902
Phone (314) 324-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Compassion 1, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1387670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387670400000",
    "number": "1225459092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 AMBLEWOOD DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333902",
            "telephone_number": "314-324-5404",
            "fax_number": "314-478-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 AMBLEWOOD DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333902",
            "telephone_number": "314-324-5404",
            "fax_number": "314-478-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "SHAUNEILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-22",
        "last_updated": "2013-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2013; 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.