Shannon Hale, BSRT, EMP

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1409 Meadowlands Dr
Winston Salem, NC 27107-6062

Phone

(336) 816-3633

NPI assigned

May 13, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1407420599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 MEADOWLANDS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076062",
            "telephone_number": "336-816-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 MEADOWLANDS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076062",
            "telephone_number": "336-816-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012603",
            "country_code": "US",
            "telephone_number": "336-816-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "BSRT, EMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@luminousshen.com",
            "affiliation": "N",
            "endpointDescription": "Energy Medicine Practice (Reiki, etc)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 Meadowlands Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271076062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Catherine Hale, RN
• Joseph Theodore Hale IV, LPC
• Lisa G Hale, CRNA
• Mackenzie Hale
• Melissa Mack Hale, LPT
• Joy Pattisall Hales, LCSW
• Katrina Leigh Hales, CRNA
• Charla Lynn Haley-Caudle, P.T.
• Hall Chiropractic Clinic PLLC
• Barbara Evette Hall

• Health & Wellness Coach in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.