Sessilee E Shavers

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11 Bobcat Blvd
Windsor, NH 03244-7419

Phone

(603) 478-5236

NPI assigned

May 14, 2024

Last updated

May 14, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wediko Children's Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Windsor, NH
  • NPI 1184812463
  NPD (past)

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1821847625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WOODLAWN DR # 20A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716012510",
            "telephone_number": "870-413-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOBCAT BLVD",
            "city": "WINDSOR",
            "state": "NH",
            "postal_code": "032447419",
            "telephone_number": "603-478-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "SESSILEE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Ying Ngan
• Edward M Nossick Jr.
• Claire Emma Parrell
• Lydia Pastrana
• Taylor Elizabeth Pluntz
• Kylee B Smith
• Darla Stabler
• Melissa A Susalka, COTA
• Kathryn M Walsh, LICSW
• Wediko Children's Services

• Student in an Organized Health Care Education/Training Program in Windsor, NH
• Providers in Windsor, NH by specialty
• Student in an Organized Health Care Education/Training Program in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.