Shatara O'Neal

Primary specialty

DriverTaxonomy code 172A00000X

License

SC872568 Issued in OH

Practice address

155 Poplar St
Dayton, OH 45415-2929

Phone

(937) 516-8037

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

Yes

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1477216273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POPLAR ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152929",
            "telephone_number": "937-516-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POPLAR ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152929",
            "telephone_number": "937-516-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454152929",
            "country_code": "US",
            "telephone_number": "937-516-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "SHATARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "SC872568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A O'Farrow Jr., DO
• Hayden O'Ferral
• Dennis Evan O'Grady, PSY.D.
• Patricia Anne O'Malley, PH.D., RN, CNS
• Jacquelyn Dionne O'Neal, R.PH.
• Tylar O'Neal, LSW
• Emma Joy O'Neil
• Matthew O'Neil, M.D.
• Debra O'Neill, LICDC
• Kevin Charles O'Neill, MS, LPCC

• Driver in Dayton, OH
• Providers in Dayton, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.