NPIMap

Organization Active NPI

Shanlee Stephens

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1609243740
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60548922 Issued in WA
Legal business name
SHANLEE STEPHENS
Practice address
25 95TH Dr NE
Suite 105
Lake Stevens, WA 98258-7976
Phone
(425) 334-9137
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Shanlee Stephens
Title
Massage Practitioner
Phone
(425) 314-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60548922 WA Primary

Addresses

Primary practice location

25 95TH Dr NE
Suite 105
Lake Stevens, WA 98258-7976

Mailing address

1603 E Lakeshore Dr
Apt 3
Lake Stevens, WA 98258-9215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1609243740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E LAKESHORE DR",
            "address_2": "APT 3",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE",
            "address_2": "SUITE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANLEE STEPHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SHANLEE",
        "authorized_official_title_or_position": "MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "425-314-6781"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60548922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.