Active NPI
Deborah L Shaw, LMBT
- Massage Therapist
- Wilmington, NC
National Provider Identifier
1679715908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5206
- Practice address
- 1608 Wellington Ave
Wilmington, NC 28401-7757 - Phone
- (910) 313-3366
- Fax
- (910) 313-3377
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 5206 | NC | Primary |
Addresses
Primary practice location
1608 Wellington Ave
Wilmington, NC 28401-7757
Mailing address
1980 Elsie Circle
Leland, NC 28451
Phone (910) 540-9897
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 |
|---|---|---|---|
| 5206 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1679715908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 ELSIE CIRCLE",
"city": "LELAND",
"state": "NC",
"postal_code": "28451",
"telephone_number": "910-540-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 WELLINGTON AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017757",
"telephone_number": "910-313-3366",
"fax_number": "910-313-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "5206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.