Rose Lee Shaddon, TAXI
NPI 1235833302ActiveIndividual· Driver· Russellville, AR
Driver (TAXI) in Russellville, Arkansas, licensed in AR, with an NPI issued in March 2023.
Overview
| NPI | 1235833302 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | TAXI |
| Sole proprietor | No |
| NPI issued | Mar 30, 2023 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X | 0421-016067 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|