Active NPI
Shaytoria Janea McDuffie, CNA
- Home Health Agency
- Camilla, GA
National Provider Identifier
1336514942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 91 Elm St Apt 90
Camilla, GA 31730-1009 - Phone
- (229) 462-6470
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GA | Primary |
Addresses
Primary practice location
91 Elm St Apt 90
Camilla, GA 31730-1009
Mailing address
91 Elm St Apt 90
Camilla, GA 31730-1009
Phone (229) 462-6470
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": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1336514942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 ELM ST APT 90",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301009",
"telephone_number": "229-462-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 ELM ST APT 90",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301009",
"telephone_number": "229-462-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "SHAYTORIA",
"middle_name": "JANEA",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.