Sports Helping Educate and Develop, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SPORTS HELPING EDUCATE AND DEVELOP, INC

Practice address

5736 N Tryon St
Suite 204-a
Charlotte, NC 28213-6850

Phone

(704) 491-0415

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Shedrick Washington

Title

Founder/President

Phone

(704) 491-0415

Specialties & licenses 1

Addresses

Other names 1

• S.H.E.D., Inc. Other name

Locations

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1467810820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST",
            "address_2": "SUITE 204-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136850",
            "telephone_number": "704-491-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST",
            "address_2": "SUITE 204-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136850",
            "telephone_number": "704-491-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS HELPING EDUCATE AND DEVELOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SHEDRICK",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "704-491-0415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.H.E.D., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Safiya Sanna Spivey, CCMA
• Splendid Corporation
• Shelly Spoerre, RD
• Jeffrey James Spoon, PA-C
• Sports and Spine Physical Therapy NC Inc
• Sportssmarts
• Severo Stefan Spradling, DO
• Alexa Ann Kimker Sprague, PA
• Amanda Sprague
• Desiree Sprauve

• Preferred Provider Organization in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.