Individual provider Active NPI

Shylynn I Dewey, LMT

  • Massage Therapist
  • Bremerton, WA
National Provider Identifier
1104547850
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61289925 Issued in WA
Practice address
1487 NE Dawn Rd
Bremerton, WA 98311-3122
Phone
(360) 373-8899
Fax
(360) 373-8891
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 MA61289925 WA Primary

Addresses

Primary practice location

1487 NE Dawn Rd
Bremerton, WA 98311-3122

Mailing address

1487 NE Dawn Rd
Bremerton, WA 98311-3122
Phone (360) 373-8899

Other identifiers 1

IdentifierTypeStateIssuer
MA61289925OtherWAMASSAGE LICENSE

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
MA61289925WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic Inc CurrentSince Sep 11, 2022 Accepting new patients

Locations

1487 NE Dawn Rd
Bremerton, WA 98311
Phone (360) 373-8899

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1104547850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 NE DAWN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113122",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 NE DAWN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113122",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "SHYLYNN",
        "middle_name": "I",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61289925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA61289925",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.