Shaneale Scott

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

97219 Issued in TN

Practice address

495 Dunlop LN Ste 106
Clarksville, TN 37040-5296

Phone

(931) 347-6385

Fax

(931) 553-5091

NPI assigned

Apr 26, 2022

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

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1457095499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 DUNLOP LN STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405296",
            "telephone_number": "931-347-6385",
            "fax_number": "931-553-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 DUNLOP LN STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405296",
            "telephone_number": "931-347-6385",
            "fax_number": "931-553-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHANEALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "97219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Schwartz
• Mihaela Calboreanu Schwartz, BCBA
• Christina Alexandria Scott
• Kamica Scott
• Sandra Lorraine Scott, LPN
• Stephanie Searor
• Seeds of Hope Therapy, LLC
• Shannon Christine Seegmiller, LPC, MHSP
• Michael John Seelig, DMD
• Louanna Rae Seely, L.C.S.W.

• Licensed Practical Nurse in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.