Bethuna Shields, MS OTR/L

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

056008855 Issued in IL

Practice address

1401 South California Ave
Chicago, IL 60608

Phone

(773) 522-2010

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1699390047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DES PLAINES AVE APT 510",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302069",
            "telephone_number": "630-418-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SOUTH CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-522-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "BETHUNA",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "IL",
            "license": "056008855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Shieh
• Cathy Shiel-Reardon, MA
• Sara L Shields-Cole, M.S.CCC-SLP-L
• Abi Joy Shields
• Alvin Shields
• Brigid Colleen Shields, D.O.
• Lauren Jean Shields, APN
• Shifa Cardiology Consultants MD SC
• Shifa Dialysis Center Humboldt Park, LLC (Fresenius Kidney Care West Metro)
• Shifa Dialysis LLC

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.