Shellby House

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19474 Issued in CA

Practice address

525 2ND St Ste 103
Eureka, CA 95501-0488

Phone

(707) 296-3641

NPI assigned

Aug 18, 2022

Reactivated

Apr 28, 2023

Last updated

May 10, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1306564992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 KNEELAND RD",
            "city": "KNEELAND",
            "state": "CA",
            "postal_code": "955498504",
            "telephone_number": "707-296-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 2ND ST STE 103",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010488",
            "telephone_number": "707-296-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4903 Kneeland Rd",
            "address_purpose": "LOCATION",
            "city": "Kneeland",
            "state": "CA",
            "postal_code": "955498504",
            "country_code": "US",
            "telephone_number": "707-296-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "SHELLBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "deactivation_date": "2022-10-21",
        "reactivation_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Eureka, CA
• Providers in Eureka, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.