Active NPI
Marquee Jo Shiner, LMT
- Massage Therapist
- Salmon, ID
National Provider Identifier
1225642887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3579
- Practice address
- 1911 Main St
Salmon, ID 83467-4512 - Phone
- (208) 303-6616
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MAS-3579 | ID | Primary |
Addresses
Primary practice location
1911 Main St
Salmon, ID 83467-4512
Mailing address
PO Box 23
Lemhi, ID 83465-0023
Phone (208) 303-6616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAS-3579 | Other | ID | ALL INSURANCES |
| MAS-3579 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Phone |
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 |
|---|---|---|---|
| MAS-3579 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1225642887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "LEMHI",
"state": "ID",
"postal_code": "834650023",
"telephone_number": "208-303-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MAIN ST",
"city": "SALMON",
"state": "ID",
"postal_code": "834674512",
"telephone_number": "208-303-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINER",
"first_name": "MARQUEE",
"middle_name": "JO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL INSURANCES",
"identifier": "MAS-3579",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MAS-3579",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Phone",
"affiliation": "N",
"address_1": "1911 Main St",
"city": "Salmon",
"state": "ID",
"country_code": "US",
"postal_code": "834674512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salmon, ID
- Sawtooth Healthcare, Inc. (Discovery Rehabilitation and Living)
- Margot Grace Schellenger
- Scott Burns Taylor (Salmon River Vision Clinic)
- Erika Colleen Sergeant, RN
- Amber Sessions
- Shopko Stores Operating Co., LLC (Shopko Pharmacy 795)
- Bruce Slavin, O.D.
- St Patrick Hosp and Health Sci Ctr (International Heart Instute of Montana)
- Steele Memorial Medical Center (Steele Memorial Medical Clinic)
- Steele Memorial Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.