Active NPI
Shayne David Adam Clure, L.M.T.
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1609118371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4983
- Practice address
- 2620 San Mateo Blvd NE
Suite F
Albuquerque, NM 87110-3165 - Phone
- (505) 888-4044
- NPI assigned
- Mar 20, 2013
- Last updated
- Mar 20, 2013
- Sex
- Male
- 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 | 4983 | NM | Primary |
Addresses
Primary practice location
2620 San Mateo Blvd NE
Suite F
Albuquerque, NM 87110-3165
Mailing address
PO Box 9277
Albuquerque, NM 87119-9277
Phone (505) 459-8528
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 |
|---|---|---|---|
| 4983 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1609118371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9277",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871199277",
"telephone_number": "505-459-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 SAN MATEO BLVD NE",
"address_2": "SUITE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103165",
"telephone_number": "505-888-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLURE",
"first_name": "SHAYNE",
"middle_name": "DAVID ADAM",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "4983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.