NPIMap

Organization Active NPI

Still Life Massage and Float

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1124464326
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017027 Issued in WA
Legal business name
STILL LIFE MASSAGE AND FLOAT
Practice address
19 Bellwether Way Ste 101
Bellingham, WA 98225-2966
Phone
(360) 647-2805
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shannon C Fuller, LMP
Title
Owner
Phone
(360) 647-2805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00017027 WA Primary

Addresses

Primary practice location

19 Bellwether Way Ste 101
Bellingham, WA 98225-2966

Mailing address

19 Bellwether Way Ste 101
Bellingham, WA 98225-2966
Phone (360) 647-2805

Other identifiers 1

IdentifierTypeStateIssuer
1194853036OtherWAPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

19 Bellwether Way
Ste 101
Bellingham, WA 98225
Phone (360) 325-9106

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1124464326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BELLWETHER WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252966",
            "telephone_number": "360-647-2805",
            "fax_number": "360-734-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BELLWETHER WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252966",
            "telephone_number": "360-647-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL LIFE MASSAGE AND FLOAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-647-2805",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1194853036",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.