Pink Elephant Autism Project

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PINK ELEPHANT AUTISM PROJECT

Practice address

8738 Red Oak Drive
Charleston, SC 29406

Phone

(803) 308-0586

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Shaqueta Johnson

Title

Ceo

Phone

(803) 308-0586

Specialties & licenses 1

Addresses

Other names 1

• Pink Elephant Autism Project Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1669036448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294560831",
            "telephone_number": "803-308-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8738 RED OAK DRIVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "803-308-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK ELEPHANT AUTISM PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAQUETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-308-0586"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thepinkelephantap@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8738 Red Oak Drive",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pink Elephant Autism Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Yvette Pinckney, DNP, APRN, PMHNP-BC
• Sabrina Christina Pinckney, LPC
• Toni Coaxum Pinckney, FNP
• Nina Francesca Pineda, FNP
• Angela Susana Pineros Bautista
• Abigail Pinkston
• Mark Pinosky, MD
• Raul Fernando Pinsetta Barbieri, MD
• Geetha Pinto, MD
• Madison Elizabeth Pinto, FNP

• In Home Supportive Care Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.