Shanika Nickelberry

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1 Stagecoach VLG Ste 3
Little Rock, AR 72210-4751

Phone

(501) 753-8400

NPI assigned

May 25, 2022

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bountiful Living and Assistance LLC

  • Case Manager/Care Coordinator
  • Little Rock, AR
  • NPI 1891641338
  NPD Authorized official
• TFS of Gurdon Inc

  dba Therapeutic Family Services

  • Community/Behavioral Health Agency
  • Malvern, AR
  • NPI 1639180805
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1710625108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 HALBERT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042607",
            "telephone_number": "501-332-4400",
            "fax_number": "501-332-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STAGECOACH VLG STE 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722104751",
            "telephone_number": "501-753-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELBERRY",
        "first_name": "SHANIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nichols
• Tina H Nichols, DDS
• Lori Lamitina Nicholson, D.C.
• Nannette Nicholson, PH.D.
• Parker Kane Nicholson
• Lauren Ruth Nicolas
• Marcel Nicorici, RT (MR) ARRT
• Dana Aysha Niederhauser, APRN
• Amy Mechelle Niemann, APRN
• Joselin Gail Niemyer, MD

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.