Showtime Mentors

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHOWTIME MENTORS

Practice address

220 Rand Rd
Raleigh, NC 27603-9228

Phone

(919) 434-7130

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Lyons Sr.

Title

Founder.

Phone

(919) 434-7130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1871758722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276039228",
            "telephone_number": "919-434-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276039228",
            "telephone_number": "919-434-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOWTIME MENTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FOUNDER.",
        "authorized_official_telephone_number": "919-434-7130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha G Shopovick, AU-D
• Kenneth Louis Shore, LCSW
• Douglas B Short, MD
• Showers of Blessings LLC
• Showersofblessings LLC
• Mary Paige Shrader
• Alla Alexis Shrager, DMD
• Amoy Shreves
• Caranda Jameshia Shubrick
• Angelica Shuler

• Early Intervention Provider Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.