Terra Shed-Booth

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2831 E Wynnton LN
Columbus, GA 31906-2167

Phone

(706) 332-2092

NPI assigned

Dec 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Terra Shed-Booth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1326316084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 E WYNNTON LN",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062167",
            "telephone_number": "706-332-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 E WYNNTON LN",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062167",
            "telephone_number": "706-332-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHED-BOOTH",
        "first_name": "TERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "SHED-BOOTH",
            "credential": "CSI, BA, PP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelli Kristine Shaw, PHARMD
• Marc R Shaw, PA
• Stephanie Shaw
• London Shea
• Sarah Shealy, PA-C
• Amy Sheffield
• Brianna Sheffield, APRN
• Charles Ray Sheffield III, DMD
• David Jason Shehane Sr.
• Katrina Charlotte Shellhouse, RD, LD

• Community Health Worker in Columbus, GA
• Providers in Columbus, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.