Individual provider Active NPI

Shatanna Nicola Gaffney

  • Home Health Aide
  • North Charleston, SC
National Provider Identifier
1447091715
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
IHCP-1994 Issued in SC
Practice address
3300 W Montague Ave Ste 218
North Charleston, SC 29418-7916
Phone
(843) 321-2381
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 IHCP-1994 SC Primary

Addresses

Primary practice location

3300 W Montague Ave Ste 218
North Charleston, SC 29418-7916

Mailing address

911 Boyer Rd
Holly Hill, SC 29059-9238
Phone (843) 312-2381

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
IHCP-1994SCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Caregives CurrentSince Mar 30, 2025 Accepting new patients

Locations

3300 W Montague Ave
Ste 218
North Charleston, SC 29418
Phone (843) 321-2381

Organizations & group practices 1

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1447091715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BOYER RD",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290599238",
            "telephone_number": "843-312-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W MONTAGUE AVE STE 218",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294187916",
            "telephone_number": "843-321-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "SHATANNA",
        "middle_name": "NICOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "IHCP-1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.