Active NPI
Shannon Vega Ross, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1619301868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60146664
- Practice address
- 10021 Holman Rd NW
Seattle, WA 98177-4920 - Phone
- (206) 632-8300
- NPI assigned
- Aug 23, 2013
- 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 | MA60146664 | WA | Primary |
Addresses
Primary practice location
10021 Holman Rd NW
Seattle, WA 98177-4920
Mailing address
4709 225TH PL SW
Mountlake Terrace, WA 98043-4129
Phone (408) 717-0197
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 |
|---|---|---|---|
| MA60146664 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle MFR, LLC | Massage Therapist | Past | 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": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1619301868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 225TH PL SW",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980434129",
"telephone_number": "408-717-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 HOLMAN RD NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981774920",
"telephone_number": "206-632-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SHANNON",
"middle_name": "VEGA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60146664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.