Individual provider Active NPI

Tabari Shavers, CMT

  • Massage Therapist
  • Oakland, CA
National Provider Identifier
1801138839
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
41412 Issued in CA
Practice address
949 35TH St
5
Oakland, CA 94608-4245
Phone
(888) 374-4469
NPI assigned
Mar 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 41412 CA
Massage Therapist 225700000X 41412 CA Primary

Addresses

Primary practice location

949 35TH St
5
Oakland, CA 94608-4245

Mailing address

1941 Jackson St
Oakland, CA 94612-4600
Phone (888) 374-4469

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

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1801138839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JACKSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124600",
            "telephone_number": "888-374-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 35TH ST",
            "address_2": "5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084245",
            "telephone_number": "888-374-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "TABARI",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "41412",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "41412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.