Active NPI
Shikina Symone Wilson
- Home Health Aide
- Gaffney, SC
National Provider Identifier
1922894484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 10095294
- Practice address
- 100 Palmetto St
Gaffney, SC 29340-3263 - Phone
- (803) 607-0223
- NPI assigned
- Apr 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 10095294 | SC | Primary |
Addresses
Primary practice location
100 Palmetto St
Gaffney, SC 29340-3263
Mailing address
100 Palmetto St
Gaffney, SC 29340-3263
Phone (803) 607-0223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10095294 | SC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1922894484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PALMETTO ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293403263",
"telephone_number": "803-607-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PALMETTO ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293403263",
"telephone_number": "803-607-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHIKINA",
"middle_name": "SYMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "10095294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.