Elizabeth Inez Shidemantle, BS MS CAC

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

1600 Sarno Rd Ste 3
Melbourne, FL 32935-4992

Phone

(321) 622-6290

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holding Hands Florida, LLC

  • Case Management Agency
  • Melbourne, FL
  • NPI 1427748755
  NPD
• Holding Hands Florida, LLC

  • Community/Behavioral Health Agency
  • Melbourne, FL
  • NPI 1962037135
  NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1821689985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W SEMINOLE AVE APT 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012933",
            "telephone_number": "321-339-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 3",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354992",
            "telephone_number": "321-622-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDEMANTLE",
        "first_name": "ELIZABETH",
        "middle_name": "INEZ",
        "name_prefix": "Ms.",
        "credential": "BS MS CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshidemantle@holdinghandsflorida.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 W Seminole Ave Apt 1",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329012933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshidemantle@holdinghandsflorida.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 Sarno Rd Ste 3",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329354992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshidemantle@holdinghandsflorida.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 Sarno Rd Ste 3",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329354992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheridan Healthcorp Inc
• Sheridan Healthcorp, Inc.
• Sheridan Surgery Center
• Sherri M. Lorraine
• Ting-Chang Sheu, DO
• Cynthia Shinaberry, LCSW
• Thomas Shipley
• Melissa Shirazi, RN, IBCLC
• Katie Amanda Shirk
• Lawrence Michael Shneyder, MPT, MTC

• Rehabilitation Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Rehabilitation Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.