Individual provider Active NPI

Shinnel-Marie Shurlan Turner-Sarjeant

  • Behavior Analyst
  • Fairbanks, AK
National Provider Identifier
1326865619
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
542 4TH Ave Ste B101
Fairbanks, AK 99701-4707
Phone
(907) 374-1097
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

542 4TH Ave Ste B101
Fairbanks, AK 99701-4707

Mailing address

3255 Primrose LN
Ypsilanti, MI 48197-3215
Phone (336) 251-2613

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1326865619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 PRIMROSE LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973215",
            "telephone_number": "336-251-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 4TH AVE STE B101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014707",
            "telephone_number": "907-374-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER-SARJEANT",
        "first_name": "SHINNEL-MARIE",
        "middle_name": "SHURLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.