Active NPI
Shanna Lynn Evard, L.M.T.
- Massage Therapist
- Akron, OH
National Provider Identifier
1760639991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.017100
- Practice address
- 515 E Turkeyfoot Lake Rd Ste a
Akron, OH 44319-4102 - Phone
- (330) 571-1692
- Fax
- (330) 227-2833
- NPI assigned
- Aug 19, 2008
- Last updated
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 33.017100 | OH | Primary |
Addresses
Primary practice location
515 E Turkeyfoot Lake Rd Ste a
Akron, OH 44319-4102
Mailing address
12832 Mark Path
Doylestown, OH 44230-9324
Phone (330) 571-1692
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.017100 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1760639991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12832 MARK PATH",
"city": "DOYLESTOWN",
"state": "OH",
"postal_code": "442309324",
"telephone_number": "330-571-1692",
"fax_number": "330-658-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E TURKEYFOOT LAKE RD STE A",
"city": "AKRON",
"state": "OH",
"postal_code": "443194102",
"telephone_number": "330-571-1692",
"fax_number": "330-227-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVARD",
"first_name": "SHANNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.017100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.