Individual provider Active NPI

Shilo Marie Hamden, LPN

  • Licensed Practical Nurse
  • Huntington, WV
National Provider Identifier
1760104905
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
22504 Issued in WV
Practice address
144 Pinehurst Dr
Huntington, WV 25704-9192
Phone
(304) 412-1658
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 22504 WV Primary

Addresses

Primary practice location

144 Pinehurst Dr
Huntington, WV 25704-9192

Mailing address

144 Pinehurst Dr
Huntington, WV 25704-9192
Phone (304) 412-1658

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Tablet Health Information Exchange (HIE)
CONNECT URL Tablet/desktop Health Information Exchange (HIE)
CONNECT URL tablet Health Information Exchange (HIE)

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
22504WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1760104905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PINEHURST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049192",
            "telephone_number": "304-412-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PINEHURST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049192",
            "telephone_number": "304-412-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDEN",
        "first_name": "SHILO",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "22504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tablet",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5502 US -60",
            "address_2": "Suite 500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tablet/desktop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5502 US -60",
            "address_2": "Suite 500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tablet",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5502 US -60",
            "address_2": "Suite 500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.