Shannon M Barnes, LMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

171W00000X Issued in OR

Practice address

12445 SE Whitcomb Dr
Apt # 1
Milwaukie, OR 97222-6992

Phone

(503) 962-9016

NPI assigned

Nov 18, 2011

Sex

Female

Sole proprietor

Yes

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.

• Healthy Living Chiropractic and Wellness Center

  • Chiropractor
  • Clackamas, OR
  • NPI 1144466624
  NPD (past)
• Katanah Grossman DC, PC

  • Chiropractor
  • Clackamas, OR
  • NPI 1043514466
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2011.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1144597113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD",
            "address_2": "SUITE 204",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155746",
            "telephone_number": "503-962-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 SE WHITCOMB DR",
            "address_2": "APT # 1",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226992",
            "telephone_number": "503-962-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "171W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MASSAGE THERAPIST",
            "identifier": "1",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daiva A Banaitis, PHYSICAL THERAPIST
• Alexis Bansberg, M.A
• Karen Baranick, D.C.
• Barbara Majors LLC
• Barbara S Mallett,MD PC
• Margaret Barnett
• Melissa Louise Barnett, QMHA-R
• John Barnhill, PHYSICAL THERAPIST
• Jennifer Barren, RN
• Patricia Barrett

• All providers in Milwaukie, OR
• Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.