Active NPI
Shannon M Garrett, LMP
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1699035337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60275882
- Practice address
- 5005 Main Street
Suite 125
Tacoma, WA 98407-3168 - Phone
- (253) 508-7588
- NPI assigned
- May 28, 2012
- 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 | MA60275882 | WA | Primary |
Addresses
Primary practice location
5005 Main Street
Suite 125
Tacoma, WA 98407-3168
Mailing address
5005 Main St
Suite 125
Tacoma, WA 98407-3168
Phone (253) 508-7588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0302385 | Other | WA | STATE L&I |
| 0302421 | Other | WA | STATE L&I |
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 |
|---|---|---|---|
| MA60275882 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1699035337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 MAIN ST",
"address_2": "SUITE 125",
"city": "TACOMA",
"state": "WA",
"postal_code": "984073168",
"telephone_number": "253-508-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 MAIN STREET",
"address_2": "SUITE 125",
"city": "TACOMA",
"state": "WA",
"postal_code": "984073168",
"telephone_number": "253-508-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-28",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60275882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0302385",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0302421",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.