Erin Lynn Shimp, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7686 Issued in OR

Practice address

6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824

Phone

(971) 399-0415

Fax

(971) 277-7291

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

Yes

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

Master of Theology

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.

• Positive Inner Self, LLC

  dba Mind & Body Wellness Center

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
  • NPI 1912577305
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1598440976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24960 SW OLD HIGHWAY 99W",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407302",
            "telephone_number": "503-539-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 SW 105TH AVE STE 215",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088824",
            "telephone_number": "971-399-0415",
            "fax_number": "971-277-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMP",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Mica Sherwood
• Daniel Shevyakov
• Mandy May Faye Shields, LMT
• Wendy Shields, R.PH.
• Paul H. Shih, O.D.
• Minkyeong Shin, PH.D.
• Elissa Shinseki
• Jared Adam Shipley, MD
• Emily S L Shiraishi, PSY.D.
• Paige Shirley

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.