Active NPI
Shana Kay Eigenraam, LMP
- Massage Therapist
- Bothell, WA
National Provider Identifier
1598917635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60045371
- Practice address
- 18001 Bothell Everett Hwy Ste K
Bothell, WA 98012-6870 - Phone
- (425) 487-0487
- Fax
- (425) 486-4548
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60045371 | WA | Primary |
Addresses
Primary practice location
18001 Bothell Everett Hwy Ste K
Bothell, WA 98012-6870
Mailing address
1911 181St St SE
Bothell, WA 98012-6925
Phone (425) 608-0074
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60045371 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1598917635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 181ST ST SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126925",
"telephone_number": "425-608-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18001 BOTHELL EVERETT HWY STE K",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126870",
"telephone_number": "425-487-0487",
"fax_number": "425-486-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIGENRAAM",
"first_name": "SHANA",
"middle_name": "KAY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60045371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.