Shanda Weeden

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC005097 Issued in PA

Practice address

1150 First Ave # 551
King of Prussia, PA 19406-1334

Phone

(412) 538-8745

NPI assigned

Oct 13, 2009

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

State licenses

Practice roles

Locations

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.

• Exclusive Inverted Lens LLC

  • Counselor
  • King of Prussia, PA
  • NPI 1861240319
  NPD Authorized official

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1609101385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BLAKE CT",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083009",
            "telephone_number": "412-538-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FIRST AVE # 551",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061334",
            "telephone_number": "412-538-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "SHANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wawrzynek, DPM
• Stacey Weatherbee, RD
• Ashley Weaver, LPC
• Nicole Weaver
• Stuart A Weber, D.O.
• Amanda Weeks
• Wegmans Food Markets, Inc.
• Weiguo Li, LLC
• Rina Mary Weimann, M.D.
• Lauren Weiner, MS, BCBA

• Counselor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.