Active NPI
Shevelle Dowden, MASSAGE THERAPIST
- Massage Therapist
- Raeford, NC
National Provider Identifier
1851134670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16418
- Practice address
- 725 W Prospect Rd
Raeford, NC 28376-8799 - Phone
- (910) 565-2011
- Fax
- (910) 695-3010
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16418 | NC | Primary |
Addresses
Primary practice location
725 W Prospect Rd
Raeford, NC 28376-8799
Mailing address
725 W Prospect Rd
Raeford, NC 28376-8799
Phone (910) 565-2011
Other names 1
- Shevelle Bradley
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16418 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1851134670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 W PROSPECT RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283768799",
"telephone_number": "910-565-2011",
"fax_number": "910-695-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W PROSPECT RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283768799",
"telephone_number": "910-565-2011",
"fax_number": "910-695-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDEN",
"first_name": "SHEVELLE",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "16418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEVELLE",
"last_name": "BRADLEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.