Active NPI
Shawn Lightfoot
- Behavior Technician
- Laurel, MD
National Provider Identifier
1588468482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3257 Nile LN
Laurel, MD 20724-6128 - Phone
- (202) 215-9252
- NPI assigned
- Apr 2, 2025
- Last updated
- Apr 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
3257 Nile LN
Laurel, MD 20724-6128
Mailing address
6801 Oak Hall LN Unit 565
Columbia, MD 21045-7523
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 |
|---|---|---|---|
| S.H.a.P.E. Solution LLC | Behavior Technician | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1588468482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 OAK HALL LN UNIT 565",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210457523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3257 NILE LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246128",
"telephone_number": "202-215-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTFOOT",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
- Lifebridge Community Physicians Inc
- Lifeline Community Support Services Inc
- Lifetime Dental Care of Maryland, Badger, P.C.
- Lifetime Dental Care of Maryland, Badger, P.C. (Olde Town Laurel Dental)
- Lifetime Medical Services (Lifetime Medical Servicrs)
- Likeminds Behavioral LLC
- Asu Liku
- Kimberly Ann Lim
- Charlie Lin
- Thomas W Lindsay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.