Active NPI
Tammie El-Shabazz, LMT
- Massage Therapist
- Fayetteville, GA
National Provider Identifier
1164729430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT007284
- Practice address
- 185 Glengary CT
Fayetteville, GA 30214-7379 - Phone
- (313) 574-1490
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT007284 | GA | Primary |
Addresses
Primary practice location
185 Glengary CT
Fayetteville, GA 30214-7379
Mailing address
185 Glengary CT
Fayetteville, GA 30214-7379
Phone (313) 574-1490
Other names 1
- Shakela El-Shabazz
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT007284 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1164729430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GLENGARY CT",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147379",
"telephone_number": "313-574-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GLENGARY CT",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147379",
"telephone_number": "313-574-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-SHABAZZ",
"first_name": "TAMMIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT007284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAKELA",
"last_name": "EL-SHABAZZ",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fayetteville, GA
- Patricia Ann Edwards, FNP-C
- Rasheid Edwards
- Ursula Jacinta Edwards, LMT, CNMT
- Lindsay Ehlers, PA-C
- Grace Ada Nduka Eke
- Elite Medical Equipment & Supply Company LLC
- Elite Medical Equipment and Supply Company LLC
- Elite Staffing Group for Surgical Nurses, LLC.
- Elite Therapy Services, LLC
- Courtney Ellerbee, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.