Individual provider Active NPI

Shannen J Lasane

  • Home Health Aide
  • Lakeland, FL
National Provider Identifier
1437769239
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4006 Golf Village Loop Apt 2
Lakeland, FL 33809-4056
Phone
(863) 604-0157
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X FL Primary

Addresses

Primary practice location

4006 Golf Village Loop Apt 2
Lakeland, FL 33809-4056

Mailing address

4006 Golf Village Loop Apt 2
Lakeland, FL 33809-4056
Phone (863) 604-0157

Other identifiers 1

IdentifierTypeStateIssuer
841897717MedicaidFL

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
Bobbie Dashercare LLC CurrentSince Aug 9, 2020 Accepting new patients
Tier 1 Home Health 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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1437769239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 GOLF VILLAGE LOOP APT 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094056",
            "telephone_number": "863-604-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 GOLF VILLAGE LOOP APT 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094056",
            "telephone_number": "863-604-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASANE",
        "first_name": "SHANNEN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841897717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.