Teresa Yolanda Shivers, LICENSES

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

1124 Uncle Bud Rd
Orangeburg, SC 29115-8130

Phone

(803) 707-7016

NPI assigned

May 17, 2022

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Teresa Shivers

  • Home Health Agency
  • Branchville, SC
  • NPI 1952158511
  NPD Authorized official
• Royalti Health

  • Clinical Medical Laboratory
  • Santee, SC
  • NPI 1972339919
  Authorized official Same address or phone

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1629715180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 UNCLE BUD RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291158130",
            "telephone_number": "803-707-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 UNCLE BUD RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291158130",
            "telephone_number": "803-707-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "TERESA",
        "middle_name": "YOLANDA",
        "credential": "LICENSES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "42D2254381",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pravina B Sheth, MD
• Shinda LLC (Osteognathic Surgical Center)
• Chunquitta Shingleton, MS, MA
• Barbara Warren Shirer, BARBARA
• Branna Kinard Shirer
• Benita Jeannette Sholar
• Jacqueline Boyd Shuler, MA REHAB COUNSELING
• Margaret Shuler, PHARMD
• Thelma Lauretta Shuler, APRNBC WHNP
• Vann Beth Myers Shuler, M.D.

• Clinical Medical Laboratory in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.