Individual provider Active NPI

Shyla R. Bartee, MSW, LSW, CCM

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1730693086
Registry record updated Nov 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33007388A Issued in IN
Practice address
5555 N Tacoma Ave Ste 105
Indianapolis, IN 46220-3551
Phone
(317) 542-1473
Fax
(317) 542-1602
NPI assigned
Nov 24, 2017
Last updated
Nov 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33007388A IN Primary

Addresses

Primary practice location

5555 N Tacoma Ave Ste 105
Indianapolis, IN 46220-3551

Mailing address

4917 Kingsley Dr
Indianapolis, IN 46205-1331

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

LicenseStateTypeSpecialty
33007388AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511481600000",
    "number": "1730693086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 KINGSLEY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203551",
            "telephone_number": "317-542-1473",
            "fax_number": "317-542-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEE",
        "first_name": "SHYLA",
        "middle_name": "R.",
        "credential": "MSW, LSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33007388A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.