Shine Healthcare

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHINE HEALTHCARE

Practice address

3631 Chamblee Tucker Rd Ste A288
Atlanta, GA 30341-4415

Phone

(678) 469-9526

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Jasmin Booker

Title

Coo

Phone

(678) 469-9526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1659196129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 CHAMBLEE TUCKER RD STE A288",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414415",
            "telephone_number": "678-469-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 CHAMBLEE TUCKER RD STE A288",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414415",
            "telephone_number": "678-469-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-9526"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesul Shin
• Yoo Mee Shin, MD
• Andre Shinabarger, PA-C
• Steve M Shindell, PHD
• Shine Autism LLC
• Kayla Renee Shine
• Paula Shine
• Shinepoint Prevention Institute
• Shinesun Provider Placement Services LLC
• Seth Shingledecker

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.