Shannon Louise Heath, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA48606 Issued in FL

Practice address

325 NW Hogan St
Port St Lucie, FL 34983-8709

Phone

(772) 812-5470

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1235327487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NW HOGAN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838709",
            "telephone_number": "772-812-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NW HOGAN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838709",
            "telephone_number": "772-812-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "SHANNON",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy MD Clinical, LLC F/K/a Independent Medical Group, LLC
• Hear Again Hearing Aid Center, LLC
• Heart and Family Health Institute of Port St Lucie
• Heart of Tradition Dental PLLC (Heart of Tradition Dental)
• Heart to Heart Care LLC
• Zachary Heath
• Heavenly Adult Care LLC
• Ketura Hedden
• Quinton Lee Hedgepeth, DDS
• Margaret Heger, M.S., L.M.H.C.

• Massage Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.