Individual provider Active NPI

Shaundra Renee Foree, RN,BSN,CCM

  • Case Management Registered Nurse
  • Lithia Springs, GA
National Provider Identifier
1902435381
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
182859 Issued in GA
Practice address
1730 Silver Way
Lithia Springs, GA 30122-3956
Phone
(404) 664-0757
Fax
(877) 366-6214
NPI assigned
Apr 7, 2020
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 182859 GA Primary

Addresses

Primary practice location

1730 Silver Way
Lithia Springs, GA 30122-3956

Mailing address

1730 Silver Way
Lithia Springs, GA 30122-3956
Phone (404) 664-0757

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
182859GAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1902435381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SILVER WAY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223956",
            "telephone_number": "404-664-0757",
            "fax_number": "877-366-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SILVER WAY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223956",
            "telephone_number": "404-664-0757",
            "fax_number": "877-366-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREE",
        "first_name": "SHAUNDRA",
        "middle_name": "RENEE",
        "credential": "RN,BSN,CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "182859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.