Individual provider Active NPI

Shannon L Magda, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1184998734
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60210852 Issued in WA
Practice address
308 W 1St Ave Ste 207
Spokane, WA 99201-6002
Phone
(509) 688-3856
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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 MA 60210852 WA Primary

Addresses

Primary practice location

308 W 1St Ave Ste 207
Spokane, WA 99201-6002

Mailing address

12606 N Florida St
Mead, WA 99021-9227
Phone (509) 688-3856

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
MA 60210852WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1184998734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 N FLORIDA ST",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219227",
            "telephone_number": "509-688-3856",
            "fax_number": "509-459-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 1ST AVE STE 207",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992016002",
            "telephone_number": "509-688-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDA",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60210852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.