Tiffany Lee Shanks, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60672868 Issued in WA

Practice address

11605 State Ave Ste 111
Marysville, WA 98271-8427

Phone

(360) 657-7183

Fax

(360) 657-7188

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Lee Digue Former name

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.

• McCann Family Chiropractic PLLC

  • Chiropractor
  • Marysville, WA
  • NPI 1154487312
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1497105589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 288TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928410",
            "telephone_number": "425-770-8930",
            "fax_number": "360-657-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STATE AVE STE 111",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718427",
            "telephone_number": "360-657-7183",
            "fax_number": "360-657-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "TIFFANY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60672868",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "WA",
            "license": "XT60666196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "DIGUE",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Selevive Continuum of Care Afh
• Senior Doc Wa PC
• Maria Magdalena Mauricio Serafin
• Serenity Minds Health PLLC
• Rebecca Lynn Sewares, LMP
• Sydney Shaphren, MCOUN, NCC
• Hannah Dereen Sharpe, RN
• Dan F Shaw, DMD
• Scott Gallagher Shaw, DDS
• Kassim Ibrahim Sheimo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.