Adellaide Shyngle

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN274753 Issued in GA

Practice address

1603 Bridge Mill Dr SE Apt Q
Marietta, GA 30067-3852

Phone

(404) 750-6494

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1417539024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808500",
            "telephone_number": "404-750-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BRIDGE MILL DR SE APT Q",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300673852",
            "telephone_number": "404-750-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYNGLE",
        "first_name": "ADELLAIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN274753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1603 Bridge Mill Dr SE Apt Q",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300673852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlton Joshua Shuford, PA-C
• Zach Shumoski
• Allan Van Shupe, R.PH.
• Susan Woodlief Shupe, RPH
• Gracie Shyer, RBT
• Amanda J Sibai, PA-C
• Cary Sibley, APC
• Madhavi Latha Siddhanthi, M.D
• Reaz Siddiqui, M.D.
• Sarah Siddiqui, MS, LCGC

• Home Health Registered Nurse in Marietta, GA
• Providers in Marietta, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.