Active NPI
Lauren Shampine, OTR/L
- Pediatric Occupational Therapist
- Raleigh, NC
National Provider Identifier
1962841668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 9823
- Practice address
- 5209 Nesue Tavern CT
Raleigh, NC 27616 - Phone
- (919) 451-2917
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056010189 | IL | |
| Pediatric Occupational Therapist | 225XP0200X | 9823 | NC | Primary |
Addresses
Primary practice location
5209 Nesue Tavern CT
Raleigh, NC 27616
Mailing address
5209 Nesue Tavern CT
Raleigh, NC 27616
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9823 | NC | MD | Physical Therapist |
| 056010189 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1962841668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 NESUE TAVERN CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 NESUE TAVERN CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27616",
"telephone_number": "919-451-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMPINE",
"first_name": "LAUREN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056010189",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "9823",
"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 Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.