Laced by Shea Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LACED BY SHEA INC.

Practice address

9949 E Independence Blvd # 20
Matthews, NC 28105-4665

Phone

(704) 960-7003

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Shea Felder, COSMETOLOGISTNPI 1003214826

Title

Salon Owner

Phone

(704) 960-7003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shea Felder, C.S.A.C

  • Behavior Technician
  • Farmington Hills, MI
  • NPI 1003214826
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1033783501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 CALLAHAN MILL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135884",
            "telephone_number": "704-960-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9949 E INDEPENDENCE BLVD # 20",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054665",
            "telephone_number": "704-960-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACED BY SHEA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "SALON OWNER",
        "authorized_official_telephone_number": "704-960-7003",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Vida Counseling, PLLC
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• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Kim B Lackey, DNP, APRN, AGPCNP-BC
• Susan E Ladd-Snively, M.D.
• Jeffrey Laforge, MSW, LCSW
• Towanda Lagrone
• Merideth Courtney Lahoud, NP

• Prosthetic/Orthotic Supplier in Matthews, NC
• Providers in Matthews, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.