Tracy Shepard, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA9975 Issued in WA

Practice address

101 Main Ave.
Morton, WA 98585

Phone

(360) 324-3598

Fax

(360) 216-2451

NPI assigned

Feb 7, 2007

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Administrative Resource PLLC

  • Massage Therapist
  • Morton, WA
  • NPI 1760088934
  NPD Authorized official
• Morton Chiropractic Center PLLC

  • Chiropractor
  • Morton, WA
  • NPI 1356613178
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1053451070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560263",
            "telephone_number": "360-324-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN AVE.",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "98585",
            "telephone_number": "360-324-3598",
            "fax_number": "360-216-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "TRACY",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA9975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Preston, DVM
• Pro Plus Physical Therapy
• Fabiola Eloisa Puga Duenas, MD
• Laura Ann Richardson, LMP
• Marissa L Sabin
• Hailey Nichole Stevens, RDH
• Sylvia S Swanson, ARNP-CNM
• John A Swetz, D.C.
• Nicholas R Tyler-Hashemi, PHARM D.
• Michael Van Duren, MD

• Massage Therapist in Morton, WA
• Providers in Morton, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.