Individual provider Active NPI

Shametra Rozzel, L.AC

  • Acupuncturist
  • Twinsburg, OH
National Provider Identifier
1811745938
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
65.000447 Issued in OH
Practice address
9945 Vail Dr Ste 5
Twinsburg, OH 44087-2985
Phone
(216) 307-1140
NPI assigned
May 13, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 65.000447 OH Primary

Addresses

Primary practice location

9945 Vail Dr Ste 5
Twinsburg, OH 44087-2985

Mailing address

1205 Meadowlawn Blvd
Parma, OH 44134-3137
Phone (216) 618-0767

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
65.000447OHMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1811745938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MEADOWLAWN BLVD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343137",
            "telephone_number": "216-618-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9945 VAIL DR STE 5",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872985",
            "telephone_number": "216-307-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZZEL",
        "first_name": "SHAMETRA",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.