Shaneka M Hurdle, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

85936 Issued in NC

Practice address

1011 Huffine Mill Rd
Greensboro, NC 27405-6239

Phone

(336) 486-2562

NPI assigned

Feb 22, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Homecare Agency LLC

  • Home Health Agency
  • Greensboro, NC
  • NPI 1174317291
  NPD Authorized official
• Elite Home Care and Staffing Services, LLC

  • Home Health Agency
  • Greensboro, NC
  • NPI 1417532953
  NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1265066815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HUFFINE MILL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056239",
            "telephone_number": "336-486-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HUFFINE MILL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056239",
            "telephone_number": "336-486-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURDLE",
        "first_name": "SHANEKA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "85936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265066815",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greensboro",
            "affiliation": "N",
            "endpointDescription": "Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mail",
            "address_1": "1011 Huffine Mill Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Huntoon
• Claire P. Huprich, LCSW
• Nadia Huq, M.A., LPA, HSP-PA
• Marisa Hur
• Jeffrey George Hurd, LCSW
• Ednalyn King Hurley, LPC
• David Maurice Hurst, MD
• Teresa T. Hurst, PA-C
• Kimberly Perkins Hurth
• Karrar Husain, MD

• Licensed Practical Nurse in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.