Active NPI
Shade Knight
- Massage Therapist
- Brooklyn, NY
National Provider Identifier
1447838230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032438
- Practice address
- 1652 Nostrand Ave
Brooklyn, NY 11226-5516 - Phone
- (718) 737-1637
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 032438 | NY | Primary |
Addresses
Primary practice location
1652 Nostrand Ave
Brooklyn, NY 11226-5516
Mailing address
1652 Nostrand Ave
Brooklyn, NY 11226-5516
Phone (718) 737-1637
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1447838230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265516",
"telephone_number": "718-737-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265516",
"telephone_number": "718-737-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "SHADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032438",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "1652 Nostrand Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112265516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.