Individual provider Active NPI

Shanez Latey Compton

  • Home Health Registered Nurse
  • Orlando, FL
National Provider Identifier
1972805018
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9461854 Issued in FL
Practice address
20646 Maxim Pkwy
Orlando, FL 32833-3935
Phone
(330) 704-5903
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9461854 FL Primary

Addresses

Primary practice location

20646 Maxim Pkwy
Orlando, FL 32833-3935

Mailing address

20646 Maxim Pkwy
Orlando, FL 32833-3935
Phone (330) 704-5903

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

LicenseStateTypeSpecialty
RN9461854FLMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1972805018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20646 MAXIM PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328333935",
            "telephone_number": "330-704-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20646 MAXIM PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328333935",
            "telephone_number": "330-704-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "SHANEZ",
        "middle_name": "LATEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9461854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.