Individual provider Active NPI

Shantel Nero

  • Specialist
  • Bath, SC
National Provider Identifier
1841692944
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2242 Issued in SC
Practice address
1018 Pinegrove Rd
Bath, SC 29816
Phone
(803) 593-3364
NPI assigned
Sep 19, 2014
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2242 SC Primary

Addresses

Primary practice location

1018 Pinegrove Rd
Bath, SC 29816

Mailing address

1018 Pinegrove Rd
Beech Island, SC 29816
Phone (803) 593-3364

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

State licenses

LicenseStateTypeSpecialty
2242SCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1841692944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PINEGROVE RD",
            "city": "BEECH ISLAND",
            "state": "SC",
            "postal_code": "29816",
            "telephone_number": "803-593-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PINEGROVE RD",
            "city": "BATH",
            "state": "SC",
            "postal_code": "29816",
            "telephone_number": "803-593-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERO",
        "first_name": "SHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.