Active NPI
Shelley Kay McLean, LMT
- Specialist
- Eastpoint, FL
National Provider Identifier
1043468952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA45429
- Practice address
- 347 Highway 98
Eastpoint, FL 32328 - Phone
- (850) 766-1087
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA45429 | FL | Primary |
Addresses
Primary practice location
347 Highway 98
Eastpoint, FL 32328
Mailing address
PO Box 466
Lanark Village, FL 32323-0466
Phone (850) 766-1087
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 |
|---|---|---|---|
| MA45429 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1043468952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 466",
"city": "LANARK VILLAGE",
"state": "FL",
"postal_code": "323230466",
"telephone_number": "850-766-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 HIGHWAY 98",
"city": "EASTPOINT",
"state": "FL",
"postal_code": "32328",
"telephone_number": "850-766-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "SHELLEY",
"middle_name": "KAY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA45429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpoint, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.