Individual provider Active NPI

Destiny Shuri, DS

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1639984693
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
13912 Mary Ann Dr Uppr Marlboro
Upper Marlboro, MD 20774-8530
Phone
(240) 907-7346
Fax
(240) 907-7346
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X MD-10275774272 MD
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

13912 Mary Ann Dr Uppr Marlboro
Upper Marlboro, MD 20774-8530

Mailing address

13912 Mary Ann Dr Uppr Marlboro
Upper Marlboro, MD 20774-8530
Phone (240) 907-7346

Other names 1

  • Miss Destiny Shuri Former name

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

State licenses

LicenseStateTypeSpecialty
MD-10275774272MDMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1639984693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 MARY ANN DR UPPR MARLBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748530",
            "telephone_number": "240-907-7346",
            "fax_number": "240-907-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13912 MARY ANN DR UPPR MARLBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748530",
            "telephone_number": "240-907-7346",
            "fax_number": "240-907-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURI",
        "first_name": "DESTINY",
        "credential": "DS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MD",
            "license": "MD-10275774272",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "SHURI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.