Individual provider Active NPI

Shasta M Held, LMT,LR

  • Reflexologist
  • Mandan, ND
National Provider Identifier
1376809269
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
RB03095 Issued in ND
Practice address
204 10TH Ave NE
Mandan, ND 58554-3738
Phone
(701) 527-5151
NPI assigned
Apr 5, 2012
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X RB03095 ND Primary

Addresses

Primary practice location

204 10TH Ave NE
Mandan, ND 58554-3738

Mailing address

405 Burlington St SE
Mandan, ND 58554-4271
Phone (701) 527-5151

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
RB03095NDMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1376809269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BURLINGTON ST SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585544271",
            "telephone_number": "701-527-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 10TH AVE NE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543738",
            "telephone_number": "701-527-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELD",
        "first_name": "SHASTA",
        "middle_name": "M",
        "credential": "LMT,LR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "ND",
            "license": "RB03095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.