Shawn Calhoun

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-3700 Issued in ID

Practice address

1351 W Pine Ave
Meridian, ID 83642-5031

Phone

(208) 888-7049

NPI assigned

Aug 4, 2014

Sex

Male

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1184033110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10937 W HEARTWOOD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095682",
            "telephone_number": "208-724-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425031",
            "telephone_number": "208-888-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BVB Anesthesia Inc
• Shawna Lee Byington, PHARM.D.
• C-Pro Medical Alert
• Lane Nathan Cable, D.C.
• Jenna Cacchillo
• Elias David Elkas Calkins
• Benjamin Call, APRN
• Cora Bailey Call
• Tyler Callahan
• Michael E Callender, LCPC

• Physical Therapy Assistant in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.