Shawntina Lashawn Neal, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT209001009 Issued in IN

Practice address

706 Ridge Rd
Munster, IN 46321-1612

Phone

(219) 836-8892

Fax

(219) 836-2244

NPI assigned

Apr 5, 2011

Last updated

Jul 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trimboli Bogie Inc PC

  • Chiropractor
  • Munster, IN
  • NPI 1093982902
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1992094452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-836-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-836-8892",
            "fax_number": "219-836-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SHAWNTINA",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT209001009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MT209001009",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmen Nash
• National Medical Care, Inc. (Neomedica - Munster)
• Rod James Nault, MD
• Alberto Rodolfo Nava Vargas, FNP-C
• Joselito Navarro, M.D.
• Anna Nelsen, DPT
• John Michael Nelson, LCSW
• Stacy D Nelson, N.P.
• Neonatology Associates, Inc
• Nephrology Specialists, PC.

• Massage Therapist in Munster, IN
• Providers in Munster, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.