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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2011.

{
    "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

All providers in Davie, FL · Personal Care Attendant in Florida

Sources for this page

Verify at the official NPI Registry.