Individual provider Active NPI

Shawndele Lanik Danzy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1467049015
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24551 Issued in SC
Practice address
8180 Regent Pkwy Ste 117
Fort Mill, SC 29715-8417
Phone
(803) 518-9079
Fax
(704) 626-6855
NPI assigned
Dec 29, 2020
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24551 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017570 NC

Addresses

Primary practice location

8180 Regent Pkwy Ste 117
Fort Mill, SC 29715-8417

Mailing address

8180 Regent Pkwy Ste 117
Fort Mill, SC 29715-8417
Phone (704) 626-6855

Other practice location 1

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700

Other practice location 2

6047 Tyvola glen circ
PMB 583
Charlotte, NC 28217
Phone (704) 626-6855 ext. 101

Other practice location 3

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7558

Other practice location 4

3445 Ingleside Blvd
Ladson, SC 29456-4142
Phone (843) 797-4200

Other identifiers 3

IdentifierTypeStateIssuer
1467049015MedicaidMI
1467049015MedicaidNC
NP7553MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210503001646 SC Practitioner - Nurse Practitioner 7517376668 Reassigns benefits to 3 organizations
I20250416000507 NC Practitioner - Nurse Practitioner 7517376668 Reassigns benefits to 2 organizations
I20260528004555 TX Practitioner - Nurse Practitioner 7517376668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rebound Behavioral Health LLCGroup PAC ID 2062656747, 8 clinicians

Practice addresses (Care Compare)

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700

2402 S Miami Blvd
Suite 101
Durham, NC 27703-4928
Phone (919) 765-8730

8500 Village Dr
Suite 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36837TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince May 10, 2024 Accepting new patients
Rebound Behavioral Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Unc Physicians Network LLC CurrentSince Feb 3, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince Feb 5, 2026 Accepting new patients
Lean on Me Consulting LLC PastSince Oct 1, 2019 Accepting new patients
Charleston Geriatrics and Post - Acute Care LLC Past Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

3445 Ingleside Blvd
Ladson, SC 29456
Phone (843) 797-4200

134 E Rebound Rd
Lancaster, SC 29720
Phone (803) 313-3700

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1467049015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 REGENT PKWY STE 117",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158417",
            "telephone_number": "704-626-6855",
            "fax_number": "704-520-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 REGENT PKWY STE 117",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158417",
            "telephone_number": "803-518-9079",
            "fax_number": "704-626-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 E Rebound Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297207712",
            "country_code": "US",
            "telephone_number": "803-313-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6047 Tyvola glen circ",
            "address_2": "PMB 583",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28217",
            "country_code": "US",
            "telephone_number": "704-626-6855 x101",
            "fax_number": "704-626-6855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-7558",
            "fax_number": "919-934-7554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 Ingleside Blvd",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294564142",
            "country_code": "US",
            "telephone_number": "843-797-4200",
            "fax_number": "704-626-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANZY",
        "first_name": "SHAWNDELE",
        "middle_name": "LANIK",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "24551",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467049015",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467049015",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7553",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.