Shawnteka Threatt

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

164350 Issued in OH

Practice address

914 Galat Way
Akron, OH 44307-1027

Phone

(234) 817-2733

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1851794671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 HARTFORD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-203-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 GALAT WAY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443071027",
            "telephone_number": "234-817-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATT",
        "first_name": "SHAWNTEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401193490111",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "164350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tailashay Thornton
• Camille Thorson, CNM
• Garry L. Thrasher, D.O.
• Ashley Lynn Threadgill
• Donnita Threatt
• Laura Threw
• Clara Thurman
• Raven Thurman
• Cathleen M Tichy-Dreher, CNP
• Mary Marie Tieche

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.