Heather Shennan Causey, LMT – Massage Therapist

Key facts

NPI: 1033693148
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 15516 (HI)
Practice address: 380 Huku Lii PL Ste 105
Kihei, HI 96753-7043
Phone: (808) 879-0077
NPI assigned: Sep 25, 2018
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
15516	HI	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	15516	HI	Yes

Addresses

Primary practice location

380 Huku Lii PL Ste 105
Kihei, HI 96753-7043

Mailing address

47 Nohokai St
Kihei, HI 96753-8243
Phone (131) 651-8717

Other identifiers

Identifier	Type	State	Issuer
15516	Other	HI	LICENSE MASSAGE THERAPIST

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2018.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1033693148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NOHOKAI ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538243",
            "telephone_number": "131-651-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL STE 105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-879-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSEY",
        "first_name": "HEATHER",
        "middle_name": "SHENNAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MASSAGE THERAPIST",
            "identifier": "15516",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

All providers in Kihei, HI · Massage Therapist in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.