Shawnette Nicole Siverls

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

223 Common St Apt 2
Quincy, MA 02169-4752

Phone

(646) 334-3258

NPI assigned

Jun 18, 2021

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

Other identifiers 2

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1720657422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FANEUIL HALL MARKETPLACE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021096114",
            "telephone_number": "646-334-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COMMON ST APT 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694752",
            "telephone_number": "646-334-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERLS",
        "first_name": "SHAWNETTE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DirectMessagingAddress",
            "affiliation": "Y",
            "affiliationName": "KEY AUTISM SERVICES NJ LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Apple St Ste 221",
            "city": "Tinton Falls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077242670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shauna Nichole Singleton
• Edwin G Singsen, M.D.
• Michael Vincent Sinopoli, OD
• Lisa A Sinton, OTR/L
• Robert Sipzener, MD
• Alesha Sivers
• Sierra Skaza
• Desry Skerrett-Parker, RNCS
• Skoler & Dimarzio Orthodontics LLC
• Peter M Skoler, D.M.D.

• Behavior Technician in Quincy, MA
• Providers in Quincy, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.