Individual provider Active NPI

Doylean Shinners, LMP

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1114180973
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024266 Issued in WA
Practice address
1495 NW Gilman Blvd
Suite 4
Issaquah, WA 98027-8975
Phone
(425) 394-1200
Fax
(425) 394-0100
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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 MA00024266 WA Primary

Addresses

Primary practice location

1495 NW Gilman Blvd
Suite 4
Issaquah, WA 98027-8975

Mailing address

1495 NW Gilman Blvd
Suite 4
Issaquah, WA 98027-8975
Phone (425) 394-1200

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
MA00024266WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1114180973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD",
            "address_2": "SUITE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278975",
            "telephone_number": "425-394-1200",
            "fax_number": "425-394-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD",
            "address_2": "SUITE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278975",
            "telephone_number": "425-394-1200",
            "fax_number": "425-394-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINNERS",
        "first_name": "DOYLEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.