Shaquita Timmons, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

172702 Issued in SC

Practice address

4375 Yukon Rd
Florence, SC 29505-8949

Phone

(843) 593-4241

NPI assigned

Oct 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1699447094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 YUKON RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058949",
            "telephone_number": "843-593-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 YUKON RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058949",
            "telephone_number": "843-593-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "SHAQUITA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "172702",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "554366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chappel Tenille Timmons
• Larry Timmons
• Lindsey Michelle Timmons, FNP
• Nelly Timmons, PTA
• Reghan Teressa Timmons
• Tiny Steps Foundation
• Tiny Treasures Early Intervention LLC
• Juan D Tio, MD
• TKT & Associates D/B/a Carolina Mobility Center
• TLC Your Way Hospice Services, LLC.

• Nurse's Aide in Florence, SC
• Providers in Florence, SC by specialty
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.