Shanice Monique Sample

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

171M00000X Issued in OH

Practice address

628 W Liberty St
Springfield, OH 45506-2026

Phone

(567) 804-3293

NPI assigned

Jun 20, 2024

Sex

Female

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

State licenses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1245074681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062026",
            "telephone_number": "567-804-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "SHANICE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Mansour Salame, DDS
• Brandi Nacole Salmons
• Courtney Salyer
• Jessica Salyers, RN
• Beth Ellen Salzwedel, LISW
• Laura Samson, M.S., CCC-SLP
• Amelia Samuelson, PA-C
• Dawn Marie Sanders, PA-C
• Terrance Lamar Sanders, PROVIDER
• Sandy D Turner DO Incorporated

• Case Manager/Care Coordinator in Springfield, OH
• Providers in Springfield, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.