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SHANE CAUDILL
NPI 1073900650
Student in an Organized Health Care Education/Training Program in Belleville, IL

Active since April 21, 2015
2600 W MAIN ST, BELLEVILLE, IL 62226(618) 239-6109 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Caudill NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE CAUDILL (NPI 1073900650) is an individual student in an organized health care education/training program in Belleville, Illinois and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1073900650
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE CAUDILL
Location Address2600 W MAIN STBelleville, IL 62226-6651
Mailing Address504 Timothy LnCarterville, IL 62918-5045 · (618) 521-0078
Phone(618) 239-6109
Sole ProprietorYes
Enumeration DateApril 21, 2015
✔ NPI 1073900650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2600 W MAIN ST, Belleville, IL 62226
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIM WOODSTOCK ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6386
HEATHER DANIELLE WALDEMAR
Student in an Organized Health Care Education/Training Program
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (208) 380-2769
SARAH HAYDEN MS ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109
PAYTON MICHELLE CURTIS
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (404) 314-9738
KAITLIN KOCHER LAT, ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109
LINDENWOOD UNIVERSITY-BELLEVILLE
Orthopaedic Surgery (Sports Medicine)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (972) 367-4845
MICHAEL BOWER ATC. LAT.
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6000
STEPHEN CURTIS WILKERSON ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Caudill's NPI number?

The NPI number for Shane Caudill is 1073900650. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Shane Caudill located?

Shane Caudill practices at 2600 W Main St, Belleville, IL 62226. The listed phone number is (618) 239-6109.

What is Shane Caudill's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shane Caudill was last updated on April 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.