Active NPI
Shawn Rice, CPED, CFOM, COA
- Pedorthist
- Beaumont, TX
National Provider Identifier
1821353152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- 3531
- Practice address
- 5510 Gail Dr
Beaumont, TX 77708-2908 - Phone
- (409) 658-2792
- NPI assigned
- Jul 12, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | 0055 | ||
| Pedorthist | 224L00000X | 3531 | Primary | |
| Orthotic Fitter | 225000000X | 0055 |
Addresses
Primary practice location
5510 Gail Dr
Beaumont, TX 77708-2908
Mailing address
5510 Gail Dr
Beaumont, TX 77708-2908
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": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1821353152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 GAIL DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777082908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 GAIL DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777082908",
"telephone_number": "409-658-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "SHAWN",
"name_prefix": "Ms.",
"credential": "CPED, CFOM, COA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": "0055",
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": null,
"license": "3531",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": "0055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.