What is Theo Shackleford's NPI number?

Theo Shackleford's National Provider Identifier (NPI) is 1538737986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theo Shackleford's specialty?

Theo Shackleford is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Theo Shackleford located?

Theo Shackleford's practice location on file with NPPES is 125 S Main Cross St, Louisa, KY 41230-1065.

What is Theo Shackleford's phone number?

The practice phone number listed in the NPPES registry for Theo Shackleford is (606) 638-0938.

Is Theo Shackleford's NPI active?

Yes — Theo Shackleford's NPI (1538737986) is active in the NPPES registry as of the last update on 2021-06-14.

IndividualActive

Theo Shackleford

NPI 1538737986 · Peer Specialist · Louisa, KY

Theo Shackleford is a Peer Specialist provider in Louisa, KY (NPI 1538737986).

Provider details

NPI number: 1538737986
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

125 S Main Cross St

Louisa, KY 41230-1065

Phone: (606) 638-0938

Street-level locationGet directions

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Mailing address