Carissa A Shima

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11040 Issued in NV

Practice address

912 Ironwood Dr
Las Vegas, NV 89108-1109

Phone

(319) 404-9475

NPI assigned

Feb 5, 2022

Last updated

Feb 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1649924051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 IRONWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081109",
            "telephone_number": "319-404-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 IRONWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081109",
            "telephone_number": "319-404-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMA",
        "first_name": "CARISSA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "11040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Shill, MD
• Shilpa B Thaker MD LTD
• Bryant Shim, MD
• Haeok Shim
• Jee Shim, M.D.
• Mark Y Shimada, PEER RECOVER SPECIAL
• Yuka Shimada, ATC
• Amber Shimahara
• Keith Shimizu, O.D.
• Michele M K Shimizu, MD

• Massage Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.