Active NPI
Shanne Kayanne Sherman
- Homemaker
- Port St Lucie, FL
National Provider Identifier
1497436117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 239440
- Practice address
- 673 SE Starfish Ave
Port St Lucie, FL 34983-4660 - Phone
- (772) 259-2190
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 239440 | FL | Primary |
Addresses
Primary practice location
673 SE Starfish Ave
Port St Lucie, FL 34983-4660
Mailing address
673 SE Starfish Ave
Port St Lucie, FL 34983-4660
Phone (772) 259-2190
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
| License | State | Type | Specialty |
|---|---|---|---|
| 239440 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1497436117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 SE STARFISH AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349834660",
"telephone_number": "772-259-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 SE STARFISH AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349834660",
"telephone_number": "772-259-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "SHANNE",
"middle_name": "KAYANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "239440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Zev Shemesh
- Sheridan Radiology Services of Central Florida, Inc.
- Sheridan Radiology Services of Kentucky, Inc
- Sheridan Radiology Services of South Florida, Inc.
- Sheridan Radiology Services of Virginia, Inc
- Aaron M Shevlin, DPM
- Denise Shillingsburg
- Cheryl Shine
- Stuart S Shipe, R.PH., D.O.M.
- Karen Shipper
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.