Nina Shumate

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

1723 Simms St
Aurora, IL 60504-4701

Phone

(773) 332-2665

NPI assigned

Aug 13, 2022

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": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1538897848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 SIMMS ST STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044703",
            "telephone_number": "773-332-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 SIMMS ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044701",
            "telephone_number": "773-332-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olatokunbo Shobande, M.D.
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• Jaime Catherine Show, MS CCC-SLP
• Shreyas K. Rana LTD.
• Brandon Shun, MD
• Kati Jo Sibenaller, FNP-BC
• Brenda Sibon
• Isabella R Sickler
• Samia Sida

• Clinical Laboratory Director (Non-physician) in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.