Active NPI
Shantell Walkine
- Home Health Aide
- Fort Pierce, FL
National Provider Identifier
1558833145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1407 Grand Club Blvd
Fort Pierce, FL 34982-8134 - Phone
- (772) 249-6749
- NPI assigned
- Dec 20, 2018
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1407 Grand Club Blvd
Fort Pierce, FL 34982-8134
Mailing address
1407 Grand Club Blvd
Fort Pierce, FL 34982-8134
Phone (772) 249-6749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025014000 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Care Adult Daycare Center LLC | Current | Accepting new patients | |
| Perseverance Homecare LLC | Current | Accepting new patients | |
| Shantell Walkine Dba Brighter Care | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Day Care Clinic/Center
- Fort Pierce, FL
- NPI 1952014755
-
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1376475491
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285197251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1558833145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 GRAND CLUB BLVD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349828134",
"telephone_number": "772-249-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 GRAND CLUB BLVD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349828134",
"telephone_number": "772-249-6749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKINE",
"first_name": "SHANTELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025014000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.