ERIKA TATUM SHOCK
NPI 1093426900
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since December 12, 2022PECOS Enrolled
1190 CINNAMON HILL LN APT 308, COLUMBIA, MO 65201(573) 281-5611 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erika Tatum Shock NPPES

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

ERIKA TATUM SHOCK (NPI 1093426900) is an individual student in an organized health care education/training program in Columbia, Missouri and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093426900
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameERIKA TATUM SHOCK
Location Address1190 CINNAMON HILL LN APT 308Columbia, MO 65201-8180
Mailing Address1190 Cinnamon Hill Ln Apt 308Columbia, MO 65201-8180 · (573) 281-5611
Sole ProprietorYes
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
NPI 1093426900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1190 CINNAMON HILL LN APT 308, Columbia, MO 65201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Erika Tatum Shock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Erika Shock's NPI number?

The NPI number for Erika Shock is 1093426900. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Erika Shock located?

Erika Shock practices at 1190 Cinnamon Hill Ln Apt 308, Columbia, MO 65201. The listed phone number is (573) 281-5611.

What is Erika Shock's specialty?

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

Is Erika Shock enrolled in Medicare?

Yes. Erika Shock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erika Shock was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.