Terrence Shambley

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

333 S Mainst Suite 607
Akron, OH 44308

Phone

(234) 334-3293

NPI assigned

Feb 20, 2020

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Families First Health Services

  • Community/Behavioral Health Agency
  • Independence, OH
  • NPI 1356711477

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1285267096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 INGLESIDE RD",
            "city": "WARRENSVILLE",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-322-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S MAINST SUITE 607",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44308",
            "telephone_number": "234-334-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLEY",
        "first_name": "TERRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchi Devang Shah, MD
• Brittany Shaheen, APRN, CNP-PC
• William Shaheen, M.D.
• Amir H Shahideh, MD
• Connie Shambaugh
• Robin Shamburger
• Suzanne Renee Shammo, RD, LD
• Kenneth Allan Shane, DPM
• Ryan Michael Shaner
• Breanne Shank, MSN, APRN, FNP-BC

• Athletic Trainer in Akron, OH
• Providers in Akron, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.