Active NPI
Shatoria Renay Wilson
- Personal Care Attendant
- Akron, OH
National Provider Identifier
1811779416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 704 Glendora Ave
Akron, OH 44320-1908 - Phone
- (330) 957-2775
- NPI assigned
- Oct 18, 2023
- Last updated
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
704 Glendora Ave
Akron, OH 44320-1908
Mailing address
704 Glendora Ave
Akron, OH 44320-1908
Phone (330) 957-2775
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": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1811779416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 GLENDORA AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443201908",
"telephone_number": "330-957-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 GLENDORA AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443201908",
"telephone_number": "330-957-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHATORIA",
"middle_name": "RENAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2025-02-18",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.