Shantanece Harmon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

SXOYKTFQGH Issued in MD

Practice address

PO Box 2164
Glen Burnie, MD 21060-2164

Phone

(667) 305-5312

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Halcyon 91' LLC

  dba Halcyon 91'

  • Prosthetic/Orthotic Supplier
  • Glen Burnie, MD
  • NPI 1629880208
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1801602495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210602164",
            "telephone_number": "667-305-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210602164",
            "telephone_number": "667-305-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "SHANTANECE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "SXOYKTFQGH",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmudul Haque, M.D.
• Richard Harden, LCSW-C
• Nicole Angela Harding, COS
• Jalisa Hardy, HHP
• Kelli Teresa Harkless, CNM
• Renee M Harrigan, DPT
• Cynthia Harris Harris, FNP-C
• Kristin Harris
• Suzanne Marie Harris, NP
• Lashonda Denese Harrison

• Prosthetic/Orthotic Supplier in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.