Active NPI
Shanetta Pickering
- Occupational Therapy Assistant
- Greensboro, NC
National Provider Identifier
1275001638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 8494
- Practice address
- 6100 W Friendly Ave
Greensboro, NC 27410-4160 - Phone
- (336) 292-1301
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 8494 | NC | Primary |
Addresses
Primary practice location
6100 W Friendly Ave
Greensboro, NC 27410-4160
Mailing address
4229 Yanceyville Rd Apt Y
Browns Summit, NC 27214-8003
Phone (704) 258-9021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8494 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1275001638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 YANCEYVILLE RD APT Y",
"city": "BROWNS SUMMIT",
"state": "NC",
"postal_code": "272148003",
"telephone_number": "704-258-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 W FRIENDLY AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104160",
"telephone_number": "336-292-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "SHANETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "8494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.