Active NPI
Shanley Marie Hamilton II
- Personal Care Attendant
- Ravenna, OH
National Provider Identifier
1518658046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 43409107
- Practice address
- 530 N Walnut St
Ravenna, OH 44266-2336 - Phone
- (330) 281-7143
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 43409107 | TX | Primary |
Addresses
Primary practice location
530 N Walnut St
Ravenna, OH 44266-2336
Mailing address
530 N Walnut St
Ravenna, OH 44266-2336
Phone (330) 281-7143
Other names 1
- Miss Shanley Marie Furness
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 |
|---|---|---|---|
| 43409107 | TX | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1518658046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N WALNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662336",
"telephone_number": "330-281-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N WALNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662336",
"telephone_number": "330-281-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "SHANLEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "43409107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANLEY",
"last_name": "FURNESS",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.