Individual provider Active NPI

Shondra Irene Hufnagel

  • Massage Therapist
  • Auburn, WA
National Provider Identifier
1013388982
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60503871 Issued in WA
Practice address
949 E Main St
Auburn, WA 98002-5623
Phone
(253) 833-2999
Fax
(253) 833-1331
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60503871 WA Primary

Addresses

Primary practice location

949 E Main St
Auburn, WA 98002-5623

Mailing address

949 E Main St
Auburn, WA 98002-5623
Phone (253) 833-2999

Other identifiers 1

IdentifierTypeStateIssuer
MA60503871OtherWAWASHINGTON DEPT. OF HEALTH MASSAGE PRACTITIONER LICENSE

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

LicenseStateTypeSpecialty
MA60503871WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Chiropractic Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1013388982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025623",
            "telephone_number": "253-833-2999",
            "fax_number": "253-833-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025623",
            "telephone_number": "253-833-2999",
            "fax_number": "253-833-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "SHONDRA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60503871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPT. OF HEALTH MASSAGE PRACTITIONER LICENSE",
            "identifier": "MA60503871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.