Active NPI
Sheila Dianne Kendall, PC
- Counselor
- East Canton, OH
National Provider Identifier
1720421506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1000362
- Practice address
- 2480 Indian Run Ave SE
East Canton, OH 44730-9748 - Phone
- (330) 488-2217
- NPI assigned
- Apr 11, 2013
- Last updated
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1000362 | OH | Primary |
Addresses
Primary practice location
2480 Indian Run Ave SE
East Canton, OH 44730-9748
Mailing address
2480 Indian Run Ave SE
East Canton, OH 44730-9748
Phone (330) 488-2217
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000362 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1720421506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 INDIAN RUN AVE SE",
"city": "EAST CANTON",
"state": "OH",
"postal_code": "447309748",
"telephone_number": "330-488-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 INDIAN RUN AVE SE",
"city": "EAST CANTON",
"state": "OH",
"postal_code": "447309748",
"telephone_number": "330-488-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "SHEILA",
"middle_name": "DIANNE",
"credential": "PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "1000362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Canton, OH
- Patty Jo Deubel
- Candice German
- Brandy Elizabeth Graves, RDH
- Hartville Internal Medicine PA (East Canton Medical Group)
- Amber Marque Hunter, RN
- Haley Renee Kiko
- Michele Lee Kimbrough
- Linda Kimble RN MSN CNP Health Educator/Consultant,LLC (RLK Consulting LLC)
- Loving Hands Agency LLC
- Tabatha Lynn Martino, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.