Elizabeth Ada Shakespeare, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-2334 Issued in ID

Practice address

760 E Warm Springs Ave
Ste G
Boise, ID 83712-6476

Phone

(208) 901-0511

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1669835864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE STE G",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126459",
            "telephone_number": "208-901-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE",
            "address_2": "STE G",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126476",
            "telephone_number": "208-901-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "ELIZABETH",
        "middle_name": "ADA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-2334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Shaffer, D.C.
• Madelein C Shafferman, NMD
• Rakesh R Shah, MD
• Susan Kelli Shake
• Terry Shake
• Emily Elizabeth Shaleen, BCBA
• Mark Richard Shaltry, OTR CHT
• Shelby Shanaberger, RD
• Alexis E Shanahan, MD
• Shanell Larae LLC

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.