NPI Record of SHAMELLE SANDERS NPI 1356982474

Home Health Aide in North Las Vegas, NV

Complete NPI Record


Field Name Value Definition
NPI1356982474National Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Entity type code (type of health care provider assigned an NPI).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameSANDERSProvider last name.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameSHAMELLEProvider first name.
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address1517 SANTA ROSALIA DRProvider first line mailing address.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameNORTH LAS VEGASProvider mailing address city name.
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameNVProvider mailing address State name.
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code890311010Provider mailing address postal code.
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USProvider mailing address country code.
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number7029293297Provider mailing address telephone number.
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number7027509927Provider mailing address fax number.
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address1517 SANTA ROSALIA DRProvider first line location address.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNORTH LAS VEGASProvider location address city name.
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNVProvider location address State code.
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code890311010Provider location address postal code.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USProvider location address country code.
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number7029293297Provider location address telephone number.
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7027509927Provider location address fax number.
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date9/30/2019Provider enumeration date.
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date9/30/2019Last update date.
The date that a record was last updated or changed.
Provider Gender CodeFProvider gender code.
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1374U00000XProvider taxonomy code.
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1NVProvider license number State code.
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1Y
Other Provider Identifier 11306384219Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 105Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1NV
Is Sole ProprietorYIs Sole Proprietor.
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No