Shonta Stallworth

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

401633990414 Issued in OH

Practice address

9218 Parmelee Ave
Cleveland, OH 44108-2844

Phone

(216) 609-4020

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1770216426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 PARMELEE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082844",
            "telephone_number": "216-609-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 PARMELEE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082844",
            "telephone_number": "216-609-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "SHONTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "401633990414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Staller, LPC
• Charnell Stallings
• Traci Stallworth-Estrada, M.S, ED
• Kamela Denise Stallworth
• Latoya Andrea Stallworth
• Brian J Stalter, P.T.
• Monica Lynn Stalter, OTRL
• Macy E Stalworth, DO
• Alison Stalzer, DO
• Jonathan S. Stamler, M.D.

• Nursing Care Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nursing Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.