NPIMap

Organization Active NPI

Shauna Noelcke, LLC

  • Home Health Agency
  • Charleston, SC
National Provider Identifier
1902252679
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7144 Issued in SC
Legal business name
SHAUNA NOELCKE, LLC
Practice address
45 Sycamore Ave Apt 1112
Charleston, SC 29407-6732
Phone
(937) 430-2436
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Shauna Noelcke, DPTNPI 1023441813
Title
Physical Therapist
Phone
(937) 430-2436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7144 SC Primary

Addresses

Primary practice location

45 Sycamore Ave Apt 1112
Charleston, SC 29407-6732

Mailing address

45 Sycamore Ave Apt 1112
Charleston, SC 29407-6732
Phone (937) 430-2436

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1902252679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE APT 1112",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076732",
            "telephone_number": "937-430-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE APT 1112",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076732",
            "telephone_number": "937-430-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA NOELCKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "NOELCKE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "937-430-2436",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "7144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.