Active NPI
Shelby Kern Busey
- Behavior Technician
- North Charleston, SC
National Provider Identifier
1770148215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8620 Refuge Point Cir
North Charleston, SC 29420-6879 - Phone
- (843) 270-3992
- NPI assigned
- May 9, 2019
- Last updated
- May 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
8620 Refuge Point Cir
North Charleston, SC 29420-6879
Mailing address
130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Phone (904) 638-6388
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nocal Behavioral Services LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1770148215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CORRIDOR RD UNIT 3292",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320047833",
"telephone_number": "904-638-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8620 REFUGE POINT CIR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294206879",
"telephone_number": "843-270-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSEY",
"first_name": "SHELBY",
"middle_name": "KERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.