Shondra Bailey

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14161 Issued in NC

Practice address

4351 Main St Ste 105
Harrisburg, NC 28075-7428

Phone

(980) 319-9506

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Natural Bliss Body Studio

  • Massage Therapist
  • Harrisburg, NC
  • NPI 1144833922

  Reflexologist

  NPD Authorized official

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1811599392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 MAIN ST STE 105",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757428",
            "telephone_number": "980-319-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MAIN ST STE 105",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757428",
            "telephone_number": "980-319-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSED MASSAGE AND BODYWORK THERAPIST",
            "identifier": "16141",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Martin C Avey, DMD, MS
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• Sttarrkisha Baker, LMT
• Thomas K. Barefoot, MD
• Sylvie Bastadjian-Yessayan, MD
• Melody Battle, LCSWA
• Robert Scott Bayne, MD

• All providers in Harrisburg, NC
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.