Shannan Daye Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT135376 Issued in TX

Practice address

3700 W 15TH St Ste 302a
Plano, TX 75075-7715

Phone

(469) 666-4415

NPI assigned

Nov 12, 2021

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

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1083370183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 15TH ST STE 302A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757715",
            "telephone_number": "469-666-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 15TH ST STE 302A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757715",
            "telephone_number": "469-666-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 Peppertree Pl",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750744865",
            "country_code": "US",
            "telephone_number": "469-666-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANNAN",
        "middle_name": "DAYE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT135376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Karimi Moore, CRNA
• Marisa Moore, OTR, CLT
• Pamela A Moore, DDS
• Pamela Dione Moore, MD
• Rachel Elyse Moore
• Shawn D Moore, D.C.
• Sophie Moore, SLP
• Taylor Moore
• Tony Randelle Moore, P.T.A.
• Tabitha Moorehead, FNP

• Massage Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.