Shane Keith Dillon

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

Shop Hollow Route 6 Mate Creek
Red Jacket, WV 25692

Phone

(304) 426-4722

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1982203725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "RED JACKET",
            "state": "WV",
            "postal_code": "256920080",
            "telephone_number": "304-426-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHOP HOLLOW ROUTE 6 MATE CREEK",
            "city": "RED JACKET",
            "state": "WV",
            "postal_code": "25692",
            "telephone_number": "304-426-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SHANE",
        "middle_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Danielle Bryant
• Wigberto C Camomot
• Tonya Lynn Casey
• Shayla Raeann Cox
• Dylan Shaye Doyle
• Jagger Heath Doyle
• Tabitha Leann Ferguson
• Sherry Renee Gross
• Darlene NMN Hensley

• Personal Care Attendant in Red Jacket, WV
• Providers in Red Jacket, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.