Individual provider Active NPI

Shana Dianne Hulsey, AEMT

  • Other Technician
  • Gaffney, SC
National Provider Identifier
1699439240
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
SC601028 Issued in SC
Practice address
400 S Logan St
Gaffney, SC 29341-1609
Phone
(864) 487-2706
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X SC601028 SC Primary

Addresses

Primary practice location

400 S Logan St
Gaffney, SC 29341-1609

Mailing address

400 S Logan St
Gaffney, SC 29341-1609
Phone (864) 487-2705

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
SC601028SCMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Carolina CurrentSince Oct 31, 2021 Accepting new patients
State of South Carolina Comptroller General PastSince Oct 31, 2021 Accepting new patients

Locations

400 S Logan St
Gaffney, SC 29341
Phone (864) 487-2701

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1699439240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411609",
            "telephone_number": "864-487-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411609",
            "telephone_number": "864-487-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "SHANA",
        "middle_name": "DIANNE",
        "credential": "AEMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "SC",
            "license": "SC601028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.