Son Shine Health and Wellness Center, PSC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SON SHINE HEALTH AND WELLNESS CENTER, PSC.

Practice address

305 Morton Blvd
Hazard, KY 41701-9418

Phone

(606) 216-2599

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Veronica Lindsey Caudill-Engle, DONPI 1144513276

Title

Owner/Provider

Phone

(606) 216-2599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Caudill-Engle, DO

  • Family Medicine Physician
  • Hazard, KY
  • NPI 1144513276
  Medicare reassignment NPD Authorized official
• Deborah Anderson, APRN

  • Nurse Practitioner
  • Hazard, KY
  • NPI 1578566659
  Medicare reassignment NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662854400000",
    "number": "1578210217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-436-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "606-216-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON SHINE HEALTH AND WELLNESS CENTER, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "CAUDILL-ENGLE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-216-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Smith, RPH
• Terry L Smith, PAC
• William John Smith, MSPT
• Yvonne Smith, RN
• Soaring Potentials LLLP
• Pamela Sorrell
• Southeast Vision Associates, LLC
• Southern Medical Partners
• Southern Medical Partners, LLC
• Sherry Lynn Southern

• Family Medicine Physician in Hazard, KY
• Providers in Hazard, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.