Joan Marie Shephard, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00011038 Issued in WA

Practice address

1625 Meridian Ave E
Edgewood, WA 98371-1013

Phone

(253) 927-5530

NPI assigned

Sep 18, 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

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.

• North Hill Chiropractic PLLC

  • Sports Physician Chiropractor
  • Edgewood, WA
  • NPI 1366750721
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1265628838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MERIDIAN AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711013",
            "telephone_number": "253-927-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MERIDIAN AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711013",
            "telephone_number": "253-927-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy A Rinker, MA LMFT
• Sharlan Kaylee Rodeles
• Ronald O. Acosta, D.C. PLLC
• Scott Jahner PMH-Arnp-BC, PLLC
• Tandi Shamallah
• Strive Smart Professional Services Inc
• Monica Michelle Szelachowski, EAMP
• Richard Permalino Tagulinao, NP STUDENT
• Thiede Chiropractic, P.S., Inc.
• V&B Psychiatric Services PLLC

• Massage Therapist in Edgewood, WA
• Providers in Edgewood, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.