Karinagrace Andaya Shouldice, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5238810 Issued in FL

Practice address

1838 Greene Tree Rd Ste 260
Pikesville, MD 21208-7108

Phone

(410) 486-2000

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1306449905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 CARRBRIDGE CIR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212041812",
            "telephone_number": "360-348-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 260",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "410-486-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULDICE",
        "first_name": "KARINAGRACE",
        "middle_name": "ANDAYA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5238810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH INSURANCE",
            "identifier": "34278428",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PIKESVILLE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1838 Greene Tree Rd Ste 260",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212087108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shura, Incorporated

• Licensed Practical Nurse in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.