Shaena Marie Peter, OTR/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Practice address

100 Park PL
Selma, AL 36701-7743

Phone

(334) 872-3471

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By the provider in NPPES

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

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1437331642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MUD BRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155802",
            "telephone_number": "678-591-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017743",
            "telephone_number": "334-872-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "SHAENA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayes Palacio
• Park Place Nursing and Rehabilitation Center, LLC
• Tacarla Shantese Pearson, CRNP
• Pediatric Adolescent Medicine, Inc.
• Williams K Perkins, RPT
• Jamie Crear Pettway, NP
• Physicians Choice Dialysis of Selma, LLC
• Pilcher McBryde Drug Company
• Pinkie Platt, LPC
• Reneka Kiera Polk, NP

• Skilled Nursing Facility in Selma, AL
• Providers in Selma, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.