Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760055008 Individual Practitioner Female Practitioner

Shauntelle Henderson , LPN

Licensed Practical Nurse • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Shauntelle Henderson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Chicago, IL. Practice services are available at 312 W 52ND PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

312 W 52nd Pl

Chicago, IL 606096229

Telephone 7739564603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Chicago, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-09
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043.089473

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Nursing Care

NUCC Taxonomy Code: 251J00000X

State License IL 043.089473

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Point of Service

NUCC Taxonomy Code: 305S00000X

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Amour -Propre Aesthete Collective
1215698527 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2022

Nursing Care (License #043.089473 in IL)

NPI Profile Active July 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2021

Registered at 312 W 52ND PL, CHICAGO, IL 606096229 (Tel: 7739564603)

📍
Updated Business Mailing Address July 23, 2021

Registered at 304 S JONES BLVD # 2440, LAS VEGAS, NV 891072623 (Tel: 7085061536)

👤
Provider Name / Credentials Updated July 23, 2021

Recorded as SHAUNTELLE HENDERSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Licensed Practical Nurse (License #043.089473 in IL)

🟢
Initial NPI Registration & Enumeration July 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760055008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2021
Last Update: January 09, 2022
Sole Proprietor: Yes

Mailing Address

304 S Jones Blvd # 2440

Las Vegas, NV 891072623

Phone: 7085061536

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.