Active NPI
Shakia Branch
- Massage Therapist
- Williamsburg, VA
National Provider Identifier
1578014312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019012780
- Practice address
- 1307 Jamestown Rd
Williamsburg, VA 23185-3381 - Phone
- (757) 299-4161
- NPI assigned
- Oct 17, 2016
- Last updated
- Oct 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 0019012780 | VA | Primary |
Addresses
Primary practice location
1307 Jamestown Rd
Williamsburg, VA 23185-3381
Mailing address
3302 Candlewood Dr
Hampton, VA 23666-3802
Phone (540) 735-7882
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0019012780 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1578014312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 CANDLEWOOD DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663802",
"telephone_number": "540-735-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 JAMESTOWN RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853381",
"telephone_number": "757-299-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "SHAKIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019012780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.