Shawna Marie Ray, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

23235 Issued in OR

Practice address

242 NE Main St
Willamina, OR 97396-2784

Phone

(971) 241-7928

Fax

(971) 275-1314

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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.

• Bam Beauty and Massage LLC

  • Massage Therapist
  • Willamina, OR
  • NPI 1851851273
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2019.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1609336502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "WILLAMINA",
            "state": "OR",
            "postal_code": "973960329",
            "telephone_number": "971-241-7928",
            "fax_number": "971-275-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 NE MAIN ST",
            "city": "WILLAMINA",
            "state": "OR",
            "postal_code": "973962784",
            "telephone_number": "971-241-7928",
            "fax_number": "971-275-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Grohs, LCSW
• Cynthia K Lopez, REGISTERED NURSE
• Heather Christeen Marall, DOULA
• Breeana Ortega Herrera
• Christina Lynne Perkins, LMT
• Sherwill, Inc
• Sherwill, Inc
• Virginia Garcia Memorial Health Center
• West Valley Fire District

• All providers in Willamina, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.