NPIMap

Organization Active NPI

Shining Start, LLC

  • Developmental Therapist
  • Panama City, FL
National Provider Identifier
1730516071
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
SHINING START, LLC
Practice address
1913 Grant Ave
Panama City, FL 32405-1525
Phone
(850) 814-1473
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Stefany IngramNPI 1659452647
Title
Itds
Phone
(850) 814-1473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

1913 Grant Ave
Panama City, FL 32405-1525

Mailing address

1913 Grant Ave
Panama City, FL 32405-1525
Phone (850) 814-1473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1730516071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 GRANT AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051525",
            "telephone_number": "850-814-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 GRANT AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051525",
            "telephone_number": "850-814-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING START, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "STEFANY",
        "authorized_official_title_or_position": "ITDS",
        "authorized_official_telephone_number": "850-814-1473"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.