Active NPI
Stephanie M Shelly, MRP
- Reflexologist
- Bethlehem, PA
National Provider Identifier
1104102425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- Practice address
- 618 4TH Ave Ste 208
Bethlehem, PA 18018-5575 - Phone
- (484) 903-8381
- NPI assigned
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | Primary |
Addresses
Primary practice location
618 4TH Ave Ste 208
Bethlehem, PA 18018-5575
Mailing address
1132 W Union Blvd
Bethlehem, PA 18018-3512
Phone (484) 903-8381
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1104102425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 W UNION BLVD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180183512",
"telephone_number": "484-903-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 4TH AVE STE 208",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185575",
"telephone_number": "484-903-8381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLY",
"first_name": "STEPHANIE",
"middle_name": "M",
"credential": "MRP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.