Individual provider Active NPI

Shania Ashanti92 Danmola

  • Registered Nurse
  • Charlotte, NC
National Provider Identifier
1558989012
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
238132 Issued in NC
Practice address
10103 Michael Crossing Dr
Charlotte, NC 28213-4354
Phone
(757) 450-9142
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 238132 NC Primary

Addresses

Primary practice location

10103 Michael Crossing Dr
Charlotte, NC 28213-4354

Mailing address

10103 Michael Crossing Dr
Charlotte, NC 28213-4354

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

LicenseStateTypeSpecialty
238132NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1558989012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 MICHAEL CROSSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 MICHAEL CROSSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134354",
            "telephone_number": "757-450-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANMOLA",
        "first_name": "SHANIA",
        "middle_name": "ASHANTI92",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "238132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.