Active NPI
Linda Shelton
- Massage Therapist
- Lake Balboa, CA
National Provider Identifier
1891239323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12966
- Practice address
- 6745 Haskell Ave
Apt 4
Lake Balboa, CA 91406-6155 - Phone
- (818) 441-9377
- NPI assigned
- Dec 19, 2016
- Last updated
- Dec 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12966 | CA | Primary |
Addresses
Primary practice location
6745 Haskell Ave
Apt 4
Lake Balboa, CA 91406-6155
Mailing address
6745 Haskell Ave
Apt 4
Lake Balboa, CA 91406-6155
Phone (818) 441-9377
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": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1891239323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 HASKELL AVE",
"address_2": "APT 4",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914066155",
"telephone_number": "818-441-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 HASKELL AVE",
"address_2": "APT 4",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914066155",
"telephone_number": "818-441-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "12966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Balboa, CA
- Katherine Consuelo Robinson
- San Fernando Valley Community Mental Health Center, Inc (Sfvcmhc Youth Contact FCCS-Lake Balboa)
- San Fernando Valley Community Mental Health Center, Inc. (Independence Continuation High School)
- San Fernando Valley Community Mental Health Center, Inc. (Youth Contact Bassett ES)
- San Fernando Valley Community Mental Health Center, Inc. (Youth Contact Mulholland MS)
- Hayley T Sherer, LCSW
- Sharifkhon Sirodzhov
- Sixteen:Five Group Inc (Steadfast Transport)
- Sixteen:Five Group Inc (Market Place Global Trading)
- Smile Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.