Individual provider Active NPI

Shams Wesley, A.P.

  • Acupuncturist
  • Jupiter, FL
National Provider Identifier
1790175503
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3503 Issued in FL
Practice address
4601 Military TRL
Suite 205
Jupiter, FL 33458-4834
Phone
(561) 624-9744
NPI assigned
Jan 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3503 FL Primary
Acupuncturist 171100000X 000140 GA

Addresses

Primary practice location

4601 Military TRL
Suite 205
Jupiter, FL 33458-4834

Mailing address

1140 University Blvd
Apt. 20
Jupiter, FL 33458-1342
Phone (561) 762-3600

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

LicenseStateTypeSpecialty
3503FLMDClinical Social Worker
000140GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Health Systems Inc PastSince Mar 22, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1790175503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 UNIVERSITY BLVD",
            "address_2": "APT. 20",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581342",
            "telephone_number": "561-762-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL",
            "address_2": "SUITE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584834",
            "telephone_number": "561-624-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "SHAMS",
        "name_prefix": "Mrs.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3503",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.