Goriola Tony Shotomiwa

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

36239122 Issued in TX

Practice address

6814 Stableton LN
Houston, TX 77049-2054

Phone

(713) 542-7438

NPI assigned

Dec 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathways 2 Positive Behavior LLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1891507935
  NPD

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1629314489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 STABLETON LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492054",
            "telephone_number": "713-542-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 STABLETON LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492054",
            "telephone_number": "713-542-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTOMIWA",
        "first_name": "GORIOLA",
        "middle_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "36239122",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "36239122",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "36239122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Chantel Shorten, LPC
• Jonezolyn Nashe Shorter, FNP-BC
• Marceta Shorter
• Kelly Nathan Shortridge, D.O.
• Samuel Shoss, MD
• Sana Shoukat, MD
• Showers of Mercy Home Healthcare LLC
• Marguerite Thedford Shows, LPC
• Elizabeth J. Shpall, M.D.
• Helen Shpats, MD

• Parenteral & Enteral Nutrition Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.