Active NPI
Joanne R Shields, LPES, MA, CAS
- School Psychologist
- Fort Mill, SC
National Provider Identifier
1508202383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2959
- Practice address
- 1599 Farmhouse Rd
Fort Mill, SC 29715-8308 - Phone
- (803) 548-2720
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2959 | SC | Primary |
Addresses
Primary practice location
1599 Farmhouse Rd
Fort Mill, SC 29715-8308
Mailing address
1599 Farmhouse Rd
Fort Mill, SC 29715-8308
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2959 | SC | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1508202383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 FARMHOUSE RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 FARMHOUSE RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158308",
"telephone_number": "803-548-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "JOANNE",
"middle_name": "R",
"credential": "LPES, MA, CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "2959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.