Sha'Ron McIntosh Durham

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2700 Westhall LN Ste 207
Maitland, FL 32751

Phone

(800) 840-2528

Fax

(407) 540-9552

NPI assigned

Oct 4, 2018

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

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1508331695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BRECKENRIDGE CIR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092339",
            "telephone_number": "321-312-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 207",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "800-840-2528",
            "fax_number": "407-540-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "SHA'RON",
        "middle_name": "MCINTOSH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Duffy-Henriques, NP
• David Dukes Jr., MTCM
• Edward John Dullmeyer, PT, MBA, OCS, CSCS
• Kathleen Elizabeth Dunbar, LMHC
• Lyma Dunbar, MSW, CISW5632
• Steven Sherrill Durham Jr.
• Sareh S Dyer, MD
• Tracy Lee Earle, L.C.S.W.
• Jazmyne Deloris Eaton
• Meagan Eaves

• Social Worker in Maitland, FL
• Providers in Maitland, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.