Active NPI
Grace E Shafer
- Hearing Instrument Specialist
- Roseville, MN
National Provider Identifier
1336783133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2863
- Practice address
- 1935 County Road B2 W Ste 180
Roseville, MN 55113-2754 - Phone
- (651) 631-8311
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2863 | MN | Primary |
Addresses
Primary practice location
1935 County Road B2 W Ste 180
Roseville, MN 55113-2754
Mailing address
2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120
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 |
|---|---|---|---|
| 2863 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1336783133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735125",
"telephone_number": "732-529-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 COUNTY ROAD B2 W STE 180",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132754",
"telephone_number": "651-631-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "GRACE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.