Individual provider Active NPI

Shirley Ann Malmay, LMT, NCBTMB

  • Specialist
  • Shreveport, LA
National Provider Identifier
1073696449
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LA2861 Issued in LA
Practice address
3110 Bert Kouns #11 Industrial Loop Suite G
Shreveport, LA 71105
Phone
(318) 865-6050
Fax
(318) 686-1053
NPI assigned
Oct 21, 2006
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LA2861 LA Primary

Addresses

Primary practice location

3110 Bert Kouns #11 Industrial Loop Suite G
Shreveport, LA 71105

Mailing address

3110 Bert Kouns #11
Industrial Loop Suite G
Shreveport, LA 71118-2900
Phone (318) 686-1186

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

LicenseStateTypeSpecialty
LA2861LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Golden Touch Inc Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1073696449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 BERT KOUNS #11",
            "address_2": "INDUSTRIAL LOOP SUITE G",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182900",
            "telephone_number": "318-686-1186",
            "fax_number": "318-686-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 BERT KOUNS #11 INDUSTRIAL LOOP SUITE G",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-865-6050",
            "fax_number": "318-686-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMAY",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMT, NCBTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "LA2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.