Shasta Lee Williams

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10529 Issued in OR

Practice address

3880 SE Harrison St
Milwaukie, OR 97222-5899

Phone

(503) 513-4665

NPI assigned

Dec 27, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healing Path Holistic Medicine Clinic

  • Acupuncturist
  • Milwaukie, OR
  • NPI 1346301280
  NPD (past)
• Healing Path Holistic Medicine Clinic, LLC

  • Acupuncturist
  • Milwaukie, OR
  • NPI 1427016583
  NPD (past)

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1750650495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225899",
            "telephone_number": "503-513-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225899",
            "telephone_number": "503-513-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHASTA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilani Williams
• Linda H Williams, PHYSICAL THERAPIST
• Lisa M Williams, CADC-II: QMHA-I
• Melissa Williams
• Renee Jenean Williams, RN
• Christina Therese Williamson, OCCUPATIONAL THERAPI
• Amy Willis, OCCUPATIONAL THERAPY
• Valencia Willis, PSS
• Annette Marie Willrelt, OCCUPATIONAL THERAPI
• Betsy Wilson

• Massage Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.