NPIMap

Organization Active NPI

Shontell Carswell

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1760923122
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
018120200 Issued in FL
Legal business name
SHONTELL CARSWELL
Practice address
7407 Celeste LN
Tampa, FL 33619-4103
Phone
(813) 531-0143
NPI assigned
Mar 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Audrey Watson
Title
Ceo
Phone
(813) 215-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X 018120200 FL Primary

Addresses

Primary practice location

7407 Celeste LN
Tampa, FL 33619-4103

Mailing address

7407 Celeste LN
Tampa, FL 33619-4103

Other identifiers 1

IdentifierTypeStateIssuer
018120200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Avia Premier Care LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1760923122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 CELESTE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 CELESTE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194103",
            "telephone_number": "813-531-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONTELL CARSWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-215-9170"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "018120200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018120200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.