Active NPI
Shannon Denise South, MA,, THD, LPC
- Specialist
- Asheville, NC
National Provider Identifier
1053460402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2954
- Practice address
- 1 Zillicoa St
Asheville, NC 28801-1038 - Phone
- (828) 230-5477
- NPI assigned
- Jan 8, 2007
- 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 | 2954 | NC | Primary |
Addresses
Primary practice location
1 Zillicoa St
Asheville, NC 28801-1038
Mailing address
53 Pennsylvania Ave
Asheville, NC 28806-4150
Phone (828) 230-5477
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2954 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053460402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 PENNSYLVANIA AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288064150",
"telephone_number": "828-230-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ZILLICOA ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288011038",
"telephone_number": "828-230-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "SHANNON",
"middle_name": "DENISE",
"credential": "MA,, THD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "2954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
- Soundview Family Care Homes, Inc
- Soundview II
- Jordan Keller Soupiset, MD
- Katherine Janine Souris, MS, MPH, LCMHCA, NCC
- South Asheville Chiropractic, Inc.
- Taylor Austin South, MD
- Jessica Southard, OTR/L
- Southeastern Medical Case Management & Rehab Services, Inc
- Southeastern Physical Therapy, LLC
- Southeastern Sports Medicine PLLC
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.