Individual provider Active NPI

Shelby Smith

  • Massage Therapist
  • Shepherdstown, WV
National Provider Identifier
1346950540
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
217 S Duke St Ste 104
Shepherdstown, WV 25443-4849
Phone
(304) 362-3009
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

217 S Duke St Ste 104
Shepherdstown, WV 25443-4849

Mailing address

217 S Duke St Ste 104
Shepherdstown, WV 25443-4849
Phone (304) 362-3009

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Soap
SOAP URL info@aanandhawell.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aanandha Well LLC Massage Therapist CurrentSince Mar 12, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1346950540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S DUKE ST STE 104",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434849",
            "telephone_number": "304-362-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S DUKE ST STE 104",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434849",
            "telephone_number": "304-362-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Soap",
            "affiliation": "N",
            "address_1": "217 S Duke St Ste 104",
            "city": "Shepherdstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254434849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "info@aanandhawell.com",
            "affiliation": "N",
            "address_1": "217 S Duke St Ste 104",
            "city": "Shepherdstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254434849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shepherdstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.