Natasha Dove Shephard, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031697 Issued in CO

Practice address

770 Burbank St
Broomfield, CO 80020-1658

Phone

(303) 503-1011

NPI assigned

Jun 12, 2009

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1760619084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 BURBANK ST",
            "address_2": "302",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207142",
            "telephone_number": "303-503-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BURBANK ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201658",
            "telephone_number": "303-503-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "NATASHA",
        "middle_name": "DOVE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "031697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Amy Sheets, MA, LPCC
• Peter Quinn Shelley, D.D.S, M.S.
• Diane Rene Shelton, PSYD
• Samantha Christine Shelton
• Diana Shenkin, LCSW
• Shuangqiao Shi
• Erin H Shim, MS, CCC-SLP
• Lora Shima, FNP-C
• Shirell White Counseling
• Anne Marie Shopp, LMFT

• Massage Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.