SHAQUELA L SANFORD (NPI# 1457964850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457964850 |
Entity Type | Individual |
Full Name | SHAQUELA L SANFORD |
Practice Address |
301 N Saint Marks Ave Chattanooga TN 37411-3435 |
Practice Telephone | 2563489295 |
Mailing Telephone | 2563489295 |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
TN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1744P3200X | 05 |
Street Address |
301 N SAINT MARKS AVE |
City | CHATTANOOGA |
State | TN |
Zip Code | 37411-3435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
Find all providers in zip 37411 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023529575 | Josephine Pauline Odom | Specialist | 3236 Wilcox Blvd, Chattanooga, TN 37411-1071 | 2017-10-23 |
1275994493 | India Hawkins | Specialist | 1000 Hamilton Ave, Chattanooga, TN 37405-2112 | 2016-03-16 |
1558709907 | Eugenia Johnson | Specialist | 5525 Saint Elmo Ave, Chattanooga, TN 37409-2312 | 2013-06-07 |
1922000819 | Locke H Davis | Specialist | 1700 Mccallie Ave, Chattanooga, TN 37404-3023 | 2005-08-11 |
1922514439 | Curl-up & Relax Salon and Hair Loss Center | Specialist | 3236 Wilcox Blvd, Chattanooga, TN 37411-1071 | 2017-12-19 |
1265861405 | Mane Event Salon LLC | Specialist | 5525 Saint Elmo Ave, Chattanooga, TN 37409-2312 | 2013-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
1235606179 | Felicity Domonick Howard | Specialist | 1168 Vickery Ln # 211, Cordova, TN 38016-1664 | 2018-10-29 |
1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
1730678772 | Chasity Yvonne Jeffries | Specialist | 375 Vann Dr Ste B, Jackson, TN 38305-6027 | 2018-05-04 |
1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37411 |
Please comment or provide details below to improve the information on SHAQUELA L SANFORD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.