Shavon Patterson

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

631442 Issued in PA

Practice address

1722 N Gratz St
Philadelphia, PA 19121-3113

Phone

(267) 634-1479

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Prudentiacare Home Health Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
  • NPI 1922644145
  NPD Authorized official
• Prudentiacare Health Services

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1720493992
  Authorized official Same address or phone

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1841603677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 N GRATZ ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213113",
            "telephone_number": "267-634-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 N GRATZ ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213113",
            "telephone_number": "267-634-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "PA",
            "license": "631442",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PR",
            "license": "631442",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "631442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Patterson, LPC, BC-DMT, CAADC
• Meggan Patterson, PA-C
• Nancy Patterson, LSW
• Raven Patterson, MS, LPC, LBS, NCC
• Rebecca Patterson
• Sherell Lorraine Patterson, LSW
• Sierra Patterson
• Stephanie Elizabeth Patterson, DMD
• Michelle Patteson
• Melissa Patti

• Home Health Aide in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.