Shamyra Carter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4601 53Rd St
Moline, IL 61265-8115

Phone

(309) 779-2097

NPI assigned

Jun 22, 2022

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1437880275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 9TH ST APT 213",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018348",
            "telephone_number": "309-721-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 53RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658115",
            "telephone_number": "309-779-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHAMYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shamyra.carter@unitypoint.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "4601 53rd St",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612658115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russell Martin Carlson, DPM
• Jenessa Ann Carpenter, DPT
• Jennifer M Carr, ARNP
• Lance M. Carroll, D.C.
• Olivia R Carrow, LCSW, LPHA
• Brandi Sue Cassaday, PA
• Michael Allen Cassaday, D.O.
• Francisco Salvador Castaneda, PHARMD
• Kara Castel
• Eileen Castro, MD

• Mental Health Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.