Active NPI
Peter Shea, L.AC.
- Acupuncturist
- Lakeville, NY
National Provider Identifier
1003953837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002507
- Practice address
- 6003 Big Tree Rd
Lakeville, NY 14480-9720 - Phone
- (585) 346-4510
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002507 | NY | Primary |
Addresses
Primary practice location
6003 Big Tree Rd
Lakeville, NY 14480-9720
Mailing address
PO Box 432
Geneseo, NY 14454-0432
Phone (585) 346-4510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002507 | NY | MD | Pediatric Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003953837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "GENESEO",
"state": "NY",
"postal_code": "144540432",
"telephone_number": "585-346-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6003 BIG TREE RD",
"city": "LAKEVILLE",
"state": "NY",
"postal_code": "144809720",
"telephone_number": "585-346-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, NY
- Katelyn Elise Murphy, AUD
- Physical Therapy Professionals, PC
- Xiomara Restrepo-Jaramillo, D.D.S.
- Richard S Aguirre (Lakeville Family Medicine)
- Shay Markovitch Dentistry, PLLC (Family Care of Livonia)
- John Anthony Siciliano
- Daniel Edward Simmons, PT
- Caitlin R Simpson, DC
- Southside Hearing Center, LLC
- Sarah Spooner, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.