Individual provider Active NPI

Leanda Shaw-Jones

  • Massage Therapist
  • North Hollywood, CA
National Provider Identifier
1396343521
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
79382 Issued in CA
Practice address
4821 Lankershim Blvd Ste 409
North Hollywood, CA 91601-4538
Phone
(213) 949-3113
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 79382 CA Primary

Addresses

Primary practice location

4821 Lankershim Blvd Ste 409
North Hollywood, CA 91601-4538

Mailing address

4821 Lankershim Blvd Ste 409
North Hollywood, CA 91601-4538

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

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1396343521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 LANKERSHIM BLVD STE 409",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 LANKERSHIM BLVD STE 409",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014538",
            "telephone_number": "213-949-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-JONES",
        "first_name": "LEANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "79382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.