MEDICARE: SHALEITHA DENISE SCOTT FINISTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171W00000X	Contractor
2	172A00000X	Driver
3	146D00000X	Personal Emergency Response Attendant

General Provider Information

NPI Number	:	1275464554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALEITHA DENISE SCOTT FINISTER

Provider Business Mailing Address
First Line	:	4321 KINGWOOD DR # 196
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 KINGWOOD DR # 196
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3700
Country	:	US
Telephone Number	:	832-599-1108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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