NPIMap

Individual provider Active NPI

Shannon M McFall, L.M.P.

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1427211010
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00025094 Issued in WA
Practice address
2625B Parkmont LN SW Ste a
Olympia, WA 98502-5751
Phone
(360) 943-2940
Fax
(360) 943-5616
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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 MA00025094 WA Primary

Addresses

Primary practice location

2625B Parkmont LN SW Ste a
Olympia, WA 98502-5751

Mailing address

2625B Parkmont LN SW Ste a
Olympia, WA 98502-5751
Phone (360) 943-2940

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
MA00025094WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Chiropractic LLC Massage Therapist Past Accepting new patients
Michael W. Neely, D.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1427211010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625B PARKMONT LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025751",
            "telephone_number": "360-943-2940",
            "fax_number": "360-943-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625B PARKMONT LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025751",
            "telephone_number": "360-943-2940",
            "fax_number": "360-943-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFALL",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.