Shellise Jan Marie Johannsen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61177545 Issued in WA

Practice address

2414 NW Myhre Rd #120 Silverdale Wa. Button Chiropracti
Silverdale, WA 98383

Phone

(360) 692-2273

Fax

(360) 307-7256

NPI assigned

Jun 13, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Button Chiropractic PSC

  • Chiropractor
  • Silverdale, WA
  • NPI 1922163773
  NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1487497061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 NE STRAND RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98311",
            "telephone_number": "360-940-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 NW MYHRE RD #120 SILVERDALE WA. BUTTON CHIROPRACTI",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-2273",
            "fax_number": "360-307-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "SHELLISE",
        "middle_name": "JAN MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61177545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Jensen, ARNP, CNM
• Ji H. Choi, DDS, P.C.
• Alejandra Jimenez, BCBA
• Sung Yun Jin
• Jing Cheng Institute of Traditional Chinese Medicine Inc. (Acupuncture and Chinese Medicine Clinic)
• John Veiga, MD PLLC
• Shelly Lee Johnson-Choong, MSW
• Caytlin-Colleen Danielle-Elizabeth Johnson
• Hannah Leal Johnson
• Heidi Lee Johnson, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.