MR. SHANE L TOTTEN
NPI 1043820764
Student in an Organized Health Care Education/Training Program in Medford, MA

Active since August 06, 2020
19 HAMILTON ST, MEDFORD, MA 02155(978) 257-2130 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane L Totten NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE L TOTTEN (NPI 1043820764) is an individual student in an organized health care education/training program in Medford, Massachusetts and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1043820764
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHANE L TOTTEN
Location Address19 HAMILTON STMedford, MA 02155-4207
Mailing Address56 Dimock StRoxbury, MA 02119-1210 · (617) 318-3504
Sole ProprietorNo
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
NPI 1043820764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19 HAMILTON ST, Medford, MA 02155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Totten's NPI number?

The NPI number for Shane Totten is 1043820764. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Shane Totten located?

Shane Totten practices at 19 Hamilton St, Medford, MA 02155. The listed phone number is (978) 257-2130.

What is Shane Totten's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shane Totten was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.