Individual provider Active NPI

Shaoni NA Chatterji

  • Dance Therapist
  • Memphis, TN
National Provider Identifier
1205548393
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
R-DMT2810 Issued in MA
Practice address
3257 W Sarazens Cir
Memphis, TN 38125-0807
Phone
(901) 590-4106
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X R-DMT2810 MA Primary

Addresses

Primary practice location

3257 W Sarazens Cir
Memphis, TN 38125-0807

Mailing address

162 Legacy Barn TRL Apt 304
Collierville, TN 38017-8736

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
R-DMT2810MAMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Associates Group, at Southwind, LLC CurrentSince May 21, 2023 Accepting new patients

Locations

3257 W Sarazens Cir
Memphis, TN 38125
Phone (901) 590-4106

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1205548393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LEGACY BARN TRL APT 304",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 W SARAZENS CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250807",
            "telephone_number": "901-590-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERJI",
        "first_name": "SHAONI",
        "middle_name": "NA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "MA",
            "license": "R-DMT2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.