Individual provider Active NPI

Shaneece Earle

  • Prosthetics Case Management
  • Omaha, NE
National Provider Identifier
1962237354
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
3620 N 163Rd PLZ # Studiol
Omaha, NE 68116-2164
Phone
(203) 969-5984
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

3620 N 163Rd PLZ # Studiol
Omaha, NE 68116-2164

Mailing address

200 S 21St St Ste 400a
Lincoln, NE 68510-1044
Phone (203) 969-5984

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@district127hair.com Direct

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

OrganizationSpecialtyStatusNew patients
District 127 Hair Atelier CurrentSince Sep 15, 2024 Accepting new patients

Locations

200 S 21st St
Ste 400A
Lincoln, NE 68510
Phone (402) 251-3600

3620 N 163rd Plz
Omaha, NE 68116
Phone (203) 969-5984

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1962237354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 21ST ST STE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101044",
            "telephone_number": "203-969-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N 163RD PLZ # STUDIOL",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162164",
            "telephone_number": "203-969-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "SHANEECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@district127hair.com",
            "affiliation": "N",
            "endpointDescription": "Secure email communication for patient consultations, cranial prosthesis services, and professional inquiries related to hair restoration and medical wigs.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3620 N 163rd Plz # Studiol",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681162164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.