EMERALD SHOVAN EVANS CMTC NPI 1013762053

NPI Information

  • NPI: 1013762053
  • Provider Name: EMERALD SHOVAN EVANS, CMTC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1211 EMBARCADERO
    OAKLAND, CA
    ZIP 94606
  • Phone: (510) 328-4098

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NPI Details

Emerald Shovan Evans, CMTC is a massage therapist in Oakland, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Emerald Shovan Evans, CMTC NPI is 1013762053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1211 EMBARCADERO
OAKLAND, CA
ZIP 94606-119
Phone: (510) 328-4098

The enumeration date for this NPI number is 4/23/2024 and was last updated on 4/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth Educator96289CALIFORNIANo
2225700000XMassage Therapist96289CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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