Active NPI
Deshawn Wilson, LMT
- Massage Therapist
- Beverly Hills, CA
National Provider Identifier
1972379477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6740
- Practice address
- 484 S Roxbury Dr Apt 305
Beverly Hills, CA 90212-4101 - Phone
- (310) 402-7430
- NPI assigned
- Nov 27, 2023
- 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 | 6740 | CA | Primary |
Addresses
Primary practice location
484 S Roxbury Dr Apt 305
Beverly Hills, CA 90212-4101
Mailing address
484 S Roxbury Dr Apt 305
Beverly Hills, CA 90212-4101
Phone (310) 402-7430
Other names 1
- Ms. Deshawn Wilson
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 |
|---|---|---|---|
| 6740 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1972379477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 S ROXBURY DR APT 305",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124101",
"telephone_number": "310-402-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 S ROXBURY DR APT 305",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124101",
"telephone_number": "310-402-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DESHAWN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "6740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESHAWN",
"last_name": "WILSON",
"prefix": "MS.",
"credential": "MASSAGE THERAPIST",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Beverly Hills, CA
- Wilshire Crescent Heights Medical Center a Professional Corporation
- Wilshire Institute for Interventional Psychiatry Inc
- Wilshire Surgery Center, Inc.
- Wilshire Surgical Center
- Wilshire-Robertson Dialysis, LLC
- Jeanne A Wilson, PHD., LAC
- Patricia Mae Wilson, LCSW
- Reed Scott Wilson, M.D.
- Linda Keim Wiltz
- Sharon Winer, M.D., M.P.H
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.