Sheyenne Shamburg

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2101 N Lakewood Dr Ste 225
Coeur D Alene, ID 83814-2473

Phone

(208) 691-0073

NPI assigned

Oct 3, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Up North Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur D Alene, ID
  • NPI 1659192292
  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1760201156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 225",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 225",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473",
            "telephone_number": "208-691-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBURG",
        "first_name": "SHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Life Counseling LLC
• Antony Serticchio, RBT
• Mario J Seyer, DO
• Lauren Seymour, BS
• Laura S Sferra, LCPC
• Raina Shanks, D.O.
• Lucinda Susan Shannon, LCSW
• Morgan Jaye McCardell Shannon, NP
• James Sharp, PHARMD
• Stuart T Sharp, PA

• Student in an Organized Health Care Education/Training Program in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Student in an Organized Health Care Education/Training Program in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.