Shandra Fredregill, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

807 S 3Rd St
Laramie, WY 82070-4419

Phone

(307) 742-6840

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

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  • NPI 1225213127
  NPD (past)
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  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1851860845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E CUSTER ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704028",
            "telephone_number": "307-214-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704419",
            "telephone_number": "307-742-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820704419",
            "country_code": "US",
            "telephone_number": "307-742-6840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDREGILL",
        "first_name": "SHANDRA",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori J Franc, PT
• Frances L Price, PHD, P.C.
• Donna Marie Frausto
• Tara Fredenberg
• Tucker Frederick
• Kit Stuart Freedman, MS, MA, PPC
• Kim Freeser
• Lucas Freeze
• Jilaena Irene Freitas
• Deborah Diane French-Ewing

• Massage Therapist in Laramie, WY
• Providers in Laramie, WY by specialty
• Massage Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.