Shannon D. Reynolds, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

008190 Issued in CT

Practice address

8 Lincoln St
Westport, CT 06880-4201

Phone

(203) 916-4600

Fax

(201) 916-4601

NPI assigned

Sep 17, 2015

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

Practice roles

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.

• Shalva Clinic

  • Naturopath
  • Westport, CT
  • NPI 1932550654
  NPD (past)

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1235508490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FAIRFIELD RD APT A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304889",
            "telephone_number": "203-610-2886",
            "fax_number": "203-916-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LINCOLN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804201",
            "telephone_number": "203-916-4600",
            "fax_number": "201-916-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANNON",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "008190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relational Abuse Resource Center LLC
• Relational Abuse Resource Center LLC
• Renovatio Counseling, LLC
• Reproductive Centers of America PLLC
• Debra Kotoski Ressler, M.D.
• Yoojin Rachel Rhee, DMD
• Richard a Singer MD PC
• Tina Richman, MD
• Kelsey Riesbeck, RD
• Daria Rinde

• Specialist in Westport, CT
• Providers in Westport, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.