NPIMap

Individual provider Active NPI

Christine Nicole Shinn, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1417328980
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60605089 Issued in WA
Practice address
17720 SE Mill Plain Blvd
Ste. 160
Vancouver, WA 98683-7583
Phone
(360) 944-4437
Fax
(360) 944-3925
NPI assigned
Oct 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60605089 WA Primary

Addresses

Primary practice location

17720 SE Mill Plain Blvd
Ste. 160
Vancouver, WA 98683-7583

Mailing address

17720 SE Mill Plain Blvd
Ste. 160
Vancouver, WA 98683-7583
Phone (360) 944-4437

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

LicenseStateTypeSpecialty
MA 60605089WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Chiropractic LLC PastSince Jul 16, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1417328980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17720 SE MILL PLAIN BLVD",
            "address_2": "STE. 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837583",
            "telephone_number": "360-944-4437",
            "fax_number": "360-944-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 SE MILL PLAIN BLVD",
            "address_2": "STE. 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837583",
            "telephone_number": "360-944-4437",
            "fax_number": "360-944-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "CHRISTINE",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60605089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.