1285513283 NPI number — SHAYERRA SHAMIERRE SHAMIERRE FRANKLIN PRS, CDCA

Table of content: SHAYERRA SHAMIERRE SHAMIERRE FRANKLIN PRS, CDCA (NPI 1285513283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285513283 NPI number — SHAYERRA SHAMIERRE SHAMIERRE FRANKLIN PRS, CDCA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKLIN
Provider First Name:
SHAYERRA SHAMIERRE
Provider Middle Name:
SHAMIERRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PRS, CDCA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRANKLIN
Provider Other First Name:
SHAYERRA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PRS, CDCA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285513283
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
685 COOK AVE APT 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YOUNGSTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44512-2411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
234-313-3430
Provider Business Mailing Address Fax Number:
234-313-3430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1771 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YOUNGSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44507-1135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-744-5143
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/02/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175T00000X , with the licence number:  APS.005034 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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