Individual provider Active NPI

Shalane Rochelle Wright

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1689222473
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
429 SW 14TH Ave
Miami, FL 33135-2317
Phone
(305) 731-8821
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

429 SW 14TH Ave
Miami, FL 33135-2317

Mailing address

2466 NW 44TH St Unit a
Miami, FL 33142-4552
Phone (305) 731-8821

Other practice location 1

3255 SW 6th St
Miami, FL 33135-2600
Phone (305) 445-3587

Other practice location 2

1320 SW 12th Ave
Miami, FL 33129-2512
Phone (305) 731-8821

Other practice location 3

1400 SW 8th St
Miami, FL 33135-3804
Phone (305) 285-0974

Other identifiers 1

IdentifierTypeStateIssuer
020589000MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1689222473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 NW 44TH ST UNIT A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424552",
            "telephone_number": "305-731-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SW 14TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352317",
            "telephone_number": "305-731-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3255 SW 6th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352600",
            "country_code": "US",
            "telephone_number": "305-445-3587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 SW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331292512",
            "country_code": "US",
            "telephone_number": "305-731-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331353804",
            "country_code": "US",
            "telephone_number": "305-285-0974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHALANE",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020589000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.