Shena Wright Emmanuel
Individual provider Active NPI Personal Care Attendant · Davie, FL
NPI 1811277007 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1811277007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 12401 Orange Dr
Suite 219
Davie, FL 33330-4341 - Phone
- (954) 862-1707
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
12401 Orange Dr
Suite 219
Davie, FL 33330-4341
Mailing address
1540 NW 7TH Ter
Fort Lauderdale, FL 33311-5532
Phone (954) 873-7932
NPI Registry JSON
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1811277007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 NW 7TH TER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333115532",
"telephone_number": "954-873-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 ORANGE DR",
"address_2": "SUITE 219",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304341",
"telephone_number": "954-862-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT EMMANUEL",
"first_name": "SHENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
- World Optical II Inc
- Crystal Worth
- Matthew Wozniak
- WPS Group, LLC
- Whitney Wray
- Brianna Wright
- Eartha Wright
- Justin Wright
- Stephenie Wright
- Nathalie Cara Wroy
All providers in Davie, FL · Personal Care Attendant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.