Shine Above LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHINE ABOVE LLC

Practice address

60 Holland St
Lewiston, ME 04240-7514

Phone

(207) 754-2466

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Moore

Title

Owner/Financial Manager

Phone

(207) 754-2466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1326775644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOLLAND ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407514",
            "telephone_number": "207-754-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOLLAND ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407514",
            "telephone_number": "207-754-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ABOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "207-754-2466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Shepard
• Cheryl A Sherman, PA-C
• Sloane Shevrin, CCC-SLP
• Shields Pet/CT at CMMC, LLC
• Oscar Jo Yi Shima
• Liliia Shuel, PMHNP-BC
• Margaret Shute, LMSW-CC
• David M Simms, M.D.
• Shane Sullivan Simpson, LCSW
• Aidan Sinclair, MHRT-C, CADC

• Community/Behavioral Health Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.