Active NPI
Aaron Shinault
- Contractor
- Memphis, TN
National Provider Identifier
1679023121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 078652551
- Practice address
- 2360 Cardigan Dr
Memphis, TN 38119-7419 - Phone
- (901) 828-0584
- Fax
- (901) 328-8821
- NPI assigned
- Oct 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 078652551 | TN | Primary |
Addresses
Primary practice location
2360 Cardigan Dr
Memphis, TN 38119-7419
Mailing address
2360 Cardigan Dr
Memphis, TN 38119-7419
Phone (901) 828-0584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 078652551 | TN | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Care Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Memphis, TN
- NPI 1528410263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475884800000",
"number": "1679023121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 CARDIGAN DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197419",
"telephone_number": "901-828-0584",
"fax_number": "901-328-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 CARDIGAN DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197419",
"telephone_number": "901-828-0584",
"fax_number": "901-328-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINAULT",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-08",
"last_updated": "2016-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": "078652551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.