Shawna T Wingate, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00019282 Issued in WA

Practice address

1010 Homann Dr SE Ste B
Lacey, WA 98503-2423

Phone

(360) 890-2112

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1629170386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WILDCAT ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985036745",
            "telephone_number": "360-890-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HOMANN DR SE STE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032423",
            "telephone_number": "360-890-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "SHAWNA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L&I",
            "identifier": "0204507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maximilian Coale Willson, M.A., L.M.H.C.A.
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• Michelle Lynn Wilson, L.M.P.
• Destiny Wiltz, RBT
• Winter Rose Body Therapy Inc
• Raymond Clyde Winters, D.D.S.
• Kelli Wise, LMP
• Owen Wise, MBA
• Aaron J Wittenberg

• Massage Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.