Active NPI
James Clayton
- Private Vehicle
- Minneapolis, MN
National Provider Identifier
1891354791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 1611 E 32ND St
Minneapolis, MN 55407-1828 - Phone
- (651) 795-9256
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
1611 E 32ND St
Minneapolis, MN 55407-1828
Mailing address
1611 E 32ND St
Minneapolis, MN 55407-1828
Phone (651) 795-9256
Other practice location 1
1611 E 32nd St
Minneapolis, MN 55407-1828
Phone (651) 795-9256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245879 | Other | SHYNE BRIGHT SERVICES | |
| 47551326 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shyne Bright Services LLC | Private Vehicle | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Private Vehicle
- Minneapolis, MN
- NPI 1184275000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1891354791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 E 32ND ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071828",
"telephone_number": "651-795-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 E 32ND ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071828",
"telephone_number": "651-795-9256"
}
],
"practiceLocations": [
{
"address_1": "1611 E 32nd St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071828",
"country_code": "US",
"telephone_number": "651-795-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAYTON",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHYNE BRIGHT SERVICES",
"identifier": "1245879",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47551326",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.