Rickey D Shuffler, NRP
Individual provider Active NPI Paramedic · Belton, SC
NPI 1306427232 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1306427232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- SC013356 (SC)
- Practice address
- 125 Holland Dr
Belton, SC 29627-9500 - Phone
- (864) 245-4933
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC013356 | SC | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | SC013356 | SC | Yes |
Addresses
Primary practice location
125 Holland Dr
Belton, SC 29627-9500
Mailing address
125 Holland Dr
Belton, SC 29627-9500
Phone (864) 245-4933
Other providers in Belton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.