Shannon Marie Creamer, LCCE

Primary specialty

SpecialistTaxonomy code 174400000X

License

21453 Issued in WV

Practice address

105 Trimble Ave Apt 1
Martinsburg, WV 25404-3819

Phone

(304) 995-8104

NPI assigned

Jul 16, 2022

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

State licenses

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1417681230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRIMBLE AVE APT 1",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043819",
            "telephone_number": "304-995-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRIMBLE AVE APT 1",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043819",
            "telephone_number": "304-995-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAMER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "21453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mountainmamachildbirth.com",
            "affiliation": "N",
            "endpointDescription": "email address for client/provider communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Trimble Ave Apt 1",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254043819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oliver Dudley Crawford
• Geraldine Rose Ann Crawley-Woods, PH.D.
• Jon B Crawley
• Marcus Allen Crayton
• Deshawn Creamer
• Brian August Creasy, PH.D.
• Donald Lee Creek, D.C.
• Gage Brendan Creel, PTA
• Penny Creel, RN
• Gregory Alan Cresswell, CRNA

• Specialist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.