MIESHA SHINEAQUAH FREDERICK
NPI 1497617831
Massage Therapist in Charlotte, NC

Active since November 24, 2025
2643 CLYDESDALE TER, CHARLOTTE, NC 28208(704) 724-9394 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miesha Shineaquah Frederick NPPES

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

MIESHA SHINEAQUAH FREDERICK (NPI 1497617831) is an individual massage therapist in Charlotte, North Carolina, licensed in South Carolina (10674) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1497617831
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMIESHA SHINEAQUAH FREDERICK
Location Address2643 CLYDESDALE TERCharlotte, NC 28208-4133
Mailing Address2643 Clydesdale TerCharlotte, NC 28208-4133
Sole ProprietorNo
Enumeration DateNovember 24, 2025
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 24, 2025
NPI 1497617831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in SC · 10674
Definition
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.
Also ListedNurse's AideTaxonomy 376K00000X · License 570855 (NC)
2643 CLYDESDALE TER, Charlotte, NC 28208

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 Miesha Frederick's NPI number?

The NPI number for Miesha Frederick is 1497617831. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Miesha Frederick located?

Miesha Frederick practices at 2643 Clydesdale Ter, Charlotte, NC 28208. The listed phone number is (704) 724-9394.

What is Miesha Frederick's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Miesha Frederick was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.