Shacreta Stewart

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1125 Schilling Blvd E Ste 112
Collierville, TN 38017-7078

Phone

(833) 825-5246

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1710550702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SCHILLING BLVD E STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SCHILLING BLVD E STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177078",
            "telephone_number": "833-825-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHACRETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "1125 Schilling Blvd E Ste 112",
            "city": "Collierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380177078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Stegall, AU.D.
• Virginia Ella Stephens, OTR/L
• Steve a Galella D.D.S., Perrin L Jones Jr ,D.D.S., P.L.L.C.
• Steve Thompson DDS, PC
• Molly McCarter Stevens, MSN, WHNP-BC
• Shellexis Lasaralyn Stigger
• Sherrie Marie Stiles
• T George Stoev, MD
• Peggy Ann Stokes-Moore
• Hsin-Pei Su

• Behavior Technician in Collierville, TN
• Providers in Collierville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.