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NPISignal

Individual Healthcare Provider

Shanequia Deshawn Clemons

NPI Record: ActiveRehabilitation Practitioner
NPI1831605765
Lackland Afb, Texas

Provider's NPPES record last updated: November 23, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1831605765
Primary Specialty
Rehabilitation Practitioner
Practice Location
Lackland Afb, Texas
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 9:40 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Rehabilitation Practitioner

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

    Taxonomy code 225400000X
  • Behavior Analyst

    Behavioral Health & Social Service Providers

    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

    Taxonomy code 103K00000X
  • Peer Specialist

    Other Service Providers

    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

    Taxonomy code 175T00000X
  • Religious Nonmedical Practitioner

    Nursing Service Related Providers

    A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

    Taxonomy code 374K00000X

Practice Locations

Practice Location

2180 Reese St

Lackland Afb, Texas 78236-1042

Phone: (305) 912-3482

Record Information

Enumeration Date
December 14, 2017
Provider's NPPES Record Last Updated
November 23, 2022
Certification Date
November 23, 2022
NPISignal NPPES Dataset
August 2026

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