Shannon Elizabeth Hubert, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015662 Issued in WA

Practice address

1551 NW 54TH St
Suite 103
Seattle, WA 98107-3845

Phone

(206) 782-9505

Fax

(206) 706-0303

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1285713446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 NW 54TH ST",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073845",
            "telephone_number": "206-782-9505",
            "fax_number": "206-706-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 NW 54TH ST",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073845",
            "telephone_number": "206-782-9505",
            "fax_number": "206-706-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR INDUSTRIES PROVIDER",
            "identifier": "0171749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Nicole Huber, LMP
• Juston Aaron Hubert, LMP
• Kevin Hubert
• Mary Hubert, MSW, MPH, LSWAIC
• Sarah Faith Hubert, FNP-C
• Kristiina K Huckabay, AUD
• Rebekah Leanne Huckaby, MD
• Nicole Lynn Huckeba
• Huckleberry Behavioral Solutions
• Huckleberry Counseling Services LLC

• Massage Therapist in Seattle, WA
• Providers in Seattle, 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 1, 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.