Shanandiss Hampton

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

714 Harrison CT
Crete, IL 60417-2884

Phone

(918) 856-7200

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1720670326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 HARRISON CT",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172884",
            "telephone_number": "918-856-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HARRISON CT",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172884",
            "telephone_number": "918-856-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "SHANANDISS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M083702694",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shae@thenewlifeclean.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "714 Harrison Ct",
            "city": "Crete",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604172884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Gerk
• Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C
• Wanda D Guy, M.A.CCC-SLP
• Lakeisha Haley, OTR/L
• Kiayatta D Hampton, LPN
• Healthy Heart Nurse Inc
• Heavenly Transportation
• Heritage Lab Express Inc
• Heritage Laboratory Inc
• High Point Residence Crete, LLC

• Home Health Aide in Crete, IL
• Providers in Crete, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.