Individual provider Active NPI

Shantayvia Nechell Temoney

  • Nurse's Aide
  • Washington, DC
National Provider Identifier
1427528512
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
3750948 Issued in DC
Practice address
2901 Nelson PL SE Apt 4
Washington, DC 20019-7704
Phone
(240) 701-9486
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 3750948 DC Primary

Addresses

Primary practice location

2901 Nelson PL SE Apt 4
Washington, DC 20019-7704

Mailing address

2001 15TH St NW Apt 209
Washington, DC 20009-5843

Other identifiers 1

IdentifierTypeStateIssuer
3750948MedicaidDC

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

State licenses

LicenseStateTypeSpecialty
3750948DCMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1427528512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 15TH ST NW APT 209",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 NELSON PL SE APT 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197704",
            "telephone_number": "240-701-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMONEY",
        "first_name": "SHANTAYVIA",
        "middle_name": "NECHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "3750948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3750948",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.