Active NPI
Shannon M Eisert, LMP
- Massage Therapist
- Wenatchee, WA
National Provider Identifier
1073768339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00021986
- Practice address
- 630 N Chelan Ave
Suite B-2
Wenatchee, WA 98801-6622 - Phone
- (509) 665-8363
- Fax
- (509) 662-7274
- NPI assigned
- Nov 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00021986 | WA | Primary |
Addresses
Primary practice location
630 N Chelan Ave
Suite B-2
Wenatchee, WA 98801-6622
Mailing address
1027 Kittitas St
Wenatchee, WA 98801-3409
Phone (509) 264-0102
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00021986 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapeikis Chiropractic Clinic PS | 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.
-
- Chiropractor
- Wenatchee, WA
- NPI 1346463346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227830400000",
"number": "1073768339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 KITTITAS ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013409",
"telephone_number": "509-264-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N CHELAN AVE",
"address_2": "SUITE B-2",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988016622",
"telephone_number": "509-665-8363",
"fax_number": "509-662-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISERT",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-28",
"last_updated": "2008-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00021986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.