Individual provider Active NPI

Shannon M Ayonon, MAT

  • Massage Therapist
  • Waialua, HI
National Provider Identifier
1609228444
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT14274 Issued in HI
Practice address
67-429 Kioe St
Waialua, HI 96791-9631
Phone
(808) 352-2677
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT14274 HI Primary

Addresses

Primary practice location

67-429 Kioe St
Waialua, HI 96791-9631

Mailing address

67-429 Kioe St
Waialua, HI 96791-9631
Phone (808) 352-2677

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

LicenseStateTypeSpecialty
MAT14274HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Touch Massage Service LLC Massage Therapist CurrentSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1609228444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-429 KIOE ST",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919631",
            "telephone_number": "808-352-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-429 KIOE ST",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919631",
            "telephone_number": "808-352-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYONON",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "MAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT14274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waialua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.