Jessica James Shook, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61090989 Issued in WA

Practice address

16515 Meridian E Ste 202B
Puyallup, WA 98375-6255

Phone

(253) 466-3178

NPI assigned

Mar 14, 2022

Last updated

Nov 28, 2022By the provider in NPPES

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

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1568110039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 184TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748849",
            "telephone_number": "206-484-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 202B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756255",
            "telephone_number": "253-466-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 S 72nd St Ste F",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984081238",
            "country_code": "US",
            "telephone_number": "253-475-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "JESSICA",
        "middle_name": "JAMES",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61090989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leia Shinsato
• Trent Shipp, PHARMD
• Kayleigh Jane Shirk
• Helena T Shonnard, PA-C
• Neal H Shonnard, MD
• Kristen Marie Shoop, DPT
• Steven T Shores, M.O.T.
• Darlene Sue Short, R.N.
• Stephenie Sianko-Gundlach, LADC, LMHCA, SUDP
• Omar Kabir Siddiqui, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.