Individual provider Active NPI

Shannon Hammond, LMBT

  • Massage Therapist
  • Raleigh, NC
National Provider Identifier
1962106948
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20558 Issued in NC
Practice address
4913 Professional CT Ste 205
Raleigh, NC 27609-1926
Phone
(919) 899-7383
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20558 NC Primary

Addresses

Primary practice location

4913 Professional CT Ste 205
Raleigh, NC 27609-1926

Mailing address

4913 Professional CT Ste 205
Raleigh, NC 27609-1926
Phone (919) 899-7383

Other practice location 1

6406 McCrimmon Pkwy
Morrisville, NC 27560-0288
Phone (919) 941-0026

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

LicenseStateTypeSpecialty
20558NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1962106948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091926",
            "telephone_number": "919-899-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091926",
            "telephone_number": "919-899-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6406 McCrimmon Pkwy",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275600288",
            "country_code": "US",
            "telephone_number": "919-941-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "20558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.