Kenyatta Shelton
NPI 1376231696ActiveIndividual· Technician, Other· Chicago, IL
Technician, Other in Chicago, Illinois, licensed in IL, with an NPI issued in April 2023.
Overview
| NPI | 1376231696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 25, 2023 |
| Last updated in NPPES | Apr 25, 2023 |
| Certified by provider | Apr 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | 131014391 | IL |
| Dietetic Technician, Registered | 136A00000X | 131014391 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Technician, Other providers in Chicago
- 1194178566
- 1134650484
- 1205302965
- 1932566023
- 1780460378
- 1629594361
- 1992625453
- 1225498777
- 1710240304
- 1013360429
- 1225954639
- 1639901770