Shanise Laquae Belamy, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15914 Issued in NC

Practice address

27278 Andrew Jackson Hwy E Ste C
Delco, NC 28436-9197

Phone

(910) 427-3342

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1023692894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "RIEGELWOOD",
            "state": "NC",
            "postal_code": "284560446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27278 ANDREW JACKSON HWY E STE C",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284369197",
            "telephone_number": "910-427-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAMY",
        "first_name": "SHANISE",
        "middle_name": "LAQUAE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "15914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "27278 Andrew Jackson Hwy E Ste C",
            "city": "Delco",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284369197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Access NC, LLC (The Center for Alternative Resources and Education)
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• Richard Catoe Bumgardner, MD
• Community Support Agency, LLC
• Joseph E. Corbin, LPC, LCAS
• Delco Health Clinic
• Delco Urgent Care

• Massage Therapist in Delco, NC
• Providers in Delco, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.