Shannon Jenkins, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019013639 Issued in VA

Practice address

1307 Jamestown Rd
Suite 103
Williamsburg, VA 23185

Phone

(757) 229-4161

Fax

(757) 564-0581

NPI assigned

May 10, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Performance Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1497951743
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1255867420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 CARTERS MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23231",
            "telephone_number": "804-591-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD",
            "address_2": "SUITE 103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-229-4161",
            "fax_number": "757-564-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHANNON",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019013639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350504530010",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Javernick I, M.D.
• Jeanne I Ruff OD LLC
• Karen McLeod Jeffrey, DDS
• Jonathan Jenkins
• Julie W Jenkins, N.P.
• Cierra Jennestreet, DC
• Ahyoung Jeon
• Janiah Jerrick
• Amanda Mary Jetty, D.P.T
• Ashley Jobe

• Massage Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.