SHONTAE WALDEN LPN NPI 1558044230

NPI Information

  • NPI: 1558044230
  • Provider Name: SHONTAE WALDEN, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 3711 NW 21ST ST APT 307
    LAUDERDALE LAKES, FL
    ZIP 33311
  • Phone: (305) 834-5390

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NPI Details

Shontae Walden, LPN is a licensed practical nurse in Lauderdale Lakes, FL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shontae Walden, LPN NPI is 1558044230. 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:

3711 NW 21ST ST APT 307
LAUDERDALE LAKES, FL
ZIP 33311-158
Phone: (305) 834-5390

The enumeration date for this NPI number is 8/9/2023 and was last updated on 9/22/2023.

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 Taxonomy Specialization License Number License State Primary
1171400000XHealth and Wellness CoachNo
2225CA2500XRehabilitation CounselorAssistive Technology SupplierNo
3246RP1900XTechnician, PathologyPhlebotomyNo
4251K00000XPublic Health or WelfareNo
5174N00000XLactation Consultant, Non-RNNo
6374J00000XDoulaNo
7385H00000XRespite CareNo
8385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
9385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
10164W00000XLicensed Practical Nurse5250597FLORIDAYes
11385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo

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: 11/21/2025

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