Shinequa White

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

AR5747 Issued in AR

Practice address

525 N 16TH St
West Memphis, AR 72301-3319

Phone

(870) 912-1207

Fax

(870) 912-1208

NPI assigned

Jun 13, 2021

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Development Resource Service LLC

  • Personal Care Attendant
  • West Memphis, AR
  • NPI 1922671577
  NPD Authorized official

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1851969281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 16TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013319",
            "telephone_number": "870-912-1207",
            "fax_number": "870-912-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 16TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013319",
            "telephone_number": "870-912-1207",
            "fax_number": "870-912-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHINEQUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AR",
            "license": "AR5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britni Denise Westmoreland, MCDCF-SLP
• Angela R Whatley, RN CERT. LABOR DOULA
• Richard Wheeler
• Hayley Michelle White, COTA/L
• Patricia White, MHPP
• Tony White, LCSW
• Carol Harden Whitehorn, DO
• Mark Aaron Whitlock
• Ella Hayes Whitlow, OTR/L
• Jeremy Douglas Whitt, MD

• Personal Care Attendant in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Personal Care Attendant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.