Individual provider Active NPI

Sandra D. Shavers, HEALTH CARE PROVIDER

  • Home Health Aide
  • Tallmadge, OH
National Provider Identifier
1790372423
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
554 West Ave Apt 206
Tallmadge, OH 44278-1773
Phone
(133) 056-4771
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

554 West Ave Apt 206
Tallmadge, OH 44278-1773

Mailing address

708 E Catawba Ave
Akron, OH 44306-3665
Phone (330) 376-4518

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

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1790372423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E CATAWBA AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063665",
            "telephone_number": "330-376-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 WEST AVE APT 206",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781773",
            "telephone_number": "133-056-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "HEALTH CARE PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.