Shakira Anderson
In Home Supportive Care in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962093609
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1962093609
- Entity type
- Individual (NPI-1)
- Name
- Shakira Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2021
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
4080 E Lake Mead Blvd Ste B-111Las Vegas, NV 89115-6466
Phone 702-531-9344
Mailing address
4080 E Lake Mead Blvd Ste B-111Las Vegas, NV 89115-6466
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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