S'D'K Shop

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

S'D'K SHOP

Practice address

12621 Hymeadow Dr RM 331
Austin, TX 78729-2700

Phone

(737) 326-5315

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Latonya Holland

Title

Owner

Phone

(737) 326-5315

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latonya Foster

  • Phlebotomy Technician
  • Austin, TX
  • NPI 1598466393
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1891544375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 HYMEADOW DR RM 331",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787292700",
            "telephone_number": "737-326-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 HYMEADOW DR RM 331",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787292700",
            "telephone_number": "737-326-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S'D'K SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-326-5315"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S-H Opco Spicewood Springs, LLC
• S-H Opco Spicewood Springs, LLC
• S-H Opco Spicewood Springs, LLC
• S-TCT Health Inc
• S. Brent Brotzman, MD PA
• S&R Industries
• Maria Andreina Saa Font, RD,LD
• Mario William Saab-Chalhoub, M.D.
• Elia J. Saadeh, MD
• Judy A Saal, RN

• All providers in Austin, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.