Active NPI
Shawna Rose Costello, LMT
- Massage Therapist
- Normandy Park, WA
National Provider Identifier
1851859656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60926517
- Practice address
- 19987 1St Ave S Ste 103
Normandy Park, WA 98148-2400 - Phone
- (206) 824-7200
- Fax
- (206) 832-4652
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | MA60926517 | WA | Primary |
Addresses
Primary practice location
19987 1St Ave S Ste 103
Normandy Park, WA 98148-2400
Mailing address
4001 S 211TH PL Unit C8
Seatac, WA 98198-5163
Phone (206) 919-5362
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 |
|---|---|---|---|
| MA60926517 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pier View Chiropractic, Inc. PS | 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": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1851859656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 S 211TH PL UNIT C8",
"city": "SEATAC",
"state": "WA",
"postal_code": "981985163",
"telephone_number": "206-919-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19987 1ST AVE S STE 103",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482400",
"telephone_number": "206-824-7200",
"fax_number": "206-832-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "SHAWNA",
"middle_name": "ROSE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60926517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.