Active NPI
Shenell Leah Sowers, LMT
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1598223075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9772
- Practice address
- 5594 S Fort Apache Rd Ste 110
110
Las Vegas, NV 89148-3611 - Phone
- (702) 763-1168
- Fax
- (725) 205-8594
- NPI assigned
- Mar 4, 2019
- Last updated
- Mar 4, 2019
- 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 | 9772 | NV | Primary |
Addresses
Primary practice location
5594 S Fort Apache Rd Ste 110
110
Las Vegas, NV 89148-3611
Mailing address
5594 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-3611
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 |
|---|---|---|---|
| 9772 | NV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Acupuncture of Southern Nevada LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Las Vegas, NV
- NPI 1932533122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1598223075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5594 S FORT APACHE RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891483611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5594 S FORT APACHE RD STE 110",
"address_2": "110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891483611",
"telephone_number": "702-763-1168",
"fax_number": "725-205-8594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWERS",
"first_name": "SHENELL",
"middle_name": "LEAH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "9772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.