Active NPI
Shakeya Snipes
- Counselor
- Fairburn, GA
National Provider Identifier
1295429595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 890 Buckingham CV
Fairburn, GA 30213-6466 - Phone
- (706) 201-2425
- NPI assigned
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | GA | Primary |
Addresses
Primary practice location
890 Buckingham CV
Fairburn, GA 30213-6466
Mailing address
250 Georgia Ave SE Ste 213
Atlanta, GA 30312-3000
Phone (404) 653-0374
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1295429595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 GEORGIA AVE SE STE 213",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123000",
"telephone_number": "404-653-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 BUCKINGHAM CV",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136466",
"telephone_number": "706-201-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIPES",
"first_name": "SHAKEYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-08",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.