Individual provider Active NPI

Shaon Hines, ND

  • Naturopath
  • Mosinee, WI
National Provider Identifier
1154063857
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
6035-170 Issued in WI
Practice address
146768 Hajec LN
Mosinee, WI 54455-5137
Phone
(888) 554-4637
NPI assigned
Apr 12, 2022
Last updated
Apr 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 18-1709 AZ
Naturopath 175F00000X 6035-170 WI Primary

Addresses

Primary practice location

146768 Hajec LN
Mosinee, WI 54455-5137

Mailing address

146768 Hajec LN
Mosinee, WI 54455-5137
Phone (813) 545-4169

Other practice location 1

14415 N 73rd St Ste 105
Scottsdale, AZ 85260-3130
Phone (480) 757-7770

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
18-1709AZMDNaturopath
6035-170WIMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1154063857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146768 HAJEC LN",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544555137",
            "telephone_number": "813-545-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146768 HAJEC LN",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544555137",
            "telephone_number": "888-554-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14415 N 73rd St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852603130",
            "country_code": "US",
            "telephone_number": "480-757-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "SHAON",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1709",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WI",
            "license": "6035-170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; 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.