NPIMap

Individual provider Active NPI

Meisha Shockley

  • Community Health Worker
  • Salisbury, MD
National Provider Identifier
1417364183
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
7606 Kowen Ave
Salisbury, MD 21801-2120
Phone
(443) 953-0212
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

7606 Kowen Ave
Salisbury, MD 21801-2120

Mailing address

7606 Kowen Ave
Salisbury, MD 21801-2120
Phone (443) 953-0212

Other practice location 1

424 W Market St
Snow Hill, MD 21863-1268
Phone (410) 632-9230

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mothering Mother, LLC Current Accepting new patients
Mothering Mother, LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1417364183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 KOWEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012120",
            "telephone_number": "443-953-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 KOWEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012120",
            "telephone_number": "443-953-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 W Market St",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "MD",
            "postal_code": "218631268",
            "country_code": "US",
            "telephone_number": "410-632-9230",
            "fax_number": "410-632-9239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.