Individual provider Active NPI

Shauna Malo, LMT

  • Massage Therapist
  • Reno, NV
National Provider Identifier
1962723353
Registry record updated Jun 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT. 2013 Issued in NV
Practice address
3250 Sun Cloud CT
Reno, NV 89506-9783
Phone
(775) 224-6990
NPI assigned
Jun 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2010

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 NVMT. 2013 NV Primary

Addresses

Primary practice location

3250 Sun Cloud CT
Reno, NV 89506-9783

Mailing address

PO Box 51801
Sparks, NV 89435-1801
Phone (775) 224-6990

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
NVMT. 2013NVMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1962723353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51801",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894351801",
            "telephone_number": "775-224-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 SUN CLOUD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069783",
            "telephone_number": "775-224-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALO",
        "first_name": "SHAUNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT. 2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.