Individual provider Active NPI

Anna Shelton, LMT

  • Massage Therapist
  • Snohomish, WA
National Provider Identifier
1073285664
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61153153 Issued in WA
Practice address
17416 State Route 9 SE Ste B
Snohomish, WA 98296-6304
Phone
(360) 668-2000
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 61153153 WA Primary

Addresses

Primary practice location

17416 State Route 9 SE Ste B
Snohomish, WA 98296-6304

Mailing address

1136 Johnson St SE
Monroe, WA 98272-8505
Phone (142) 599-9007

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
61153153WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Wellness Center, PLLC Massage Therapist CurrentSince Oct 17, 2021 Accepting new patients

Locations

17416 State Route 9 SE
Ste B
Snohomish, WA 98296
Phone (360) 668-2000

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1073285664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 JOHNSON ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728505",
            "telephone_number": "142-599-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 STATE ROUTE 9 SE STE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966304",
            "telephone_number": "360-668-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANNA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61153153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.