Seblewongel Nega Shone, LSA/CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA0202 Issued in DC

Practice address

8303 Sand Cherry LN
Laurel, MD 20723-1065

Phone

(757) 769-6157

NPI assigned

Mar 7, 2012

Last updated

Apr 8, 2021By the provider in NPPES

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 names 1

• Seblewongel Nega Shone Professional name

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1346514478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 SAND CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231065",
            "telephone_number": "757-769-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SAND CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231065",
            "telephone_number": "757-769-6157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Loughboro Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "202-537-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHONE",
        "first_name": "SEBLEWONGEL",
        "middle_name": "NEGA",
        "credential": "LSA/CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA0202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEBLEWONGEL",
            "last_name": "SHONE",
            "middle_name": "NEGA",
            "credential": "LSA/CSA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Surgical Assistant in Laurel, MD
• Providers in Laurel, MD by specialty
• Surgical Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.