SHADEANA NICHOLSON CNA NPI 1992322952

NPI Information

NPI: 1992322952
Provider Name: SHADEANA NICHOLSON, CNA
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
4227 LARKIN ST
SARASOTA, FL
ZIP 34232
Phone: (941) 549-4120
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Shadeana Nicholson, CNA is a home health aide in Sarasota, FL. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Shadeana Nicholson, CNA NPI is 1992322952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4227 LARKIN ST
SARASOTA, FL
ZIP 34232-024
Phone: (941) 549-4120

The enumeration date for this NPI number is 6/25/2020 and was last updated on 5/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	376J00000X	Homemaker	CNA225687	FLORIDA	No
2	376K00000X	Nurse's Aide	CNA225687	FLORIDA	No
3	374U00000X	Home Health Aide	CNA225687	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107572700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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