Active NPI
Shenice Peterson, LMT
- Massage Therapist
- Spokane Valley, WA
National Provider Identifier
1144977315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61254983
- Practice address
- 9119 E Boone Ave Ste C
Spokane Valley, WA 99206-4061 - Phone
- (509) 530-1436
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61254983 | WA | Primary |
Addresses
Primary practice location
9119 E Boone Ave Ste C
Spokane Valley, WA 99206-4061
Mailing address
9119 E Boone Ave Ste C
Spokane Valley, WA 99206-4061
Phone (509) 530-1436
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hello@spokaneprenatalmassage.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA61254983 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1144977315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 E BOONE AVE STE C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064061",
"telephone_number": "509-530-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 E BOONE AVE STE C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064061",
"telephone_number": "509-530-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SHENICE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61254983",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hello@spokaneprenatalmassage.com",
"affiliation": "N",
"address_1": "9119 E Boone Ave Ste C",
"city": "Spokane Valley",
"state": "WA",
"country_code": "US",
"postal_code": "992064061",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.