Shaleen Konstantin, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA38949 Issued in FL

Practice address

1852 N Nob Hill Rd
Plantation, FL 33322-6548

Phone

(954) 476-6401

NPI assigned

May 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134334162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 NW 50TH AVE",
            "address_2": "303",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N NOB HILL RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226548",
            "telephone_number": "954-476-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTIN",
        "first_name": "SHALEEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA38949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew G. Knowles, DO
• Robert Arthur Koch III, DO
• Pauline Lucila Koetzle
• Linda Magiste Kola, ARNP
• Ellen Kolomeyer, PHD
• Katerina Konstantopoulos, LMHC
• Merryl S Koplo, O.D.
• Damaris Perez Kopsick, P.T.
• Elizabeth Korn, OTR/L
• Randi J. Korn, DMD

• Specialist in Plantation, FL
• Providers in Plantation, FL by specialty
• Specialist in Florida

• 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.

Verify at the official NPI Registry.