Shannon N Cox, LMT, LE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG1964 Issued in ID

Practice address

1677 E Miles Ave
B
Hayden Lake, ID 83835-9154

Phone

(208) 497-2650

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By 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 2

Addresses

Other names 1

• Shannon N Fabre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1013458660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 E MILES AVE",
            "address_2": "B",
            "city": "HAYDEN LAKE",
            "state": "ID",
            "postal_code": "838359154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 E MILES AVE",
            "address_2": "B",
            "city": "HAYDEN LAKE",
            "state": "ID",
            "postal_code": "838359154",
            "telephone_number": "208-497-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "LMT, LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG1964",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60169177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FABRE",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Hayden Lake, ID
• Providers in Hayden Lake, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.