Individual provider Active NPI

Shandi Sarah Workman, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1902004864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011398 Issued in WA
Practice address
240 S Stadium Way
Ste 101
Tacoma, WA 98402-4802
Phone
(253) 383-0802
Fax
(253) 383-3603
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00011398 WA Primary

Addresses

Primary practice location

240 S Stadium Way
Ste 101
Tacoma, WA 98402-4802

Mailing address

11014 185TH Ave E
Bonney Lake, WA 98391-6045

Other identifiers 1

IdentifierTypeStateIssuer
120966OtherWASTATE DEPT. 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

LicenseStateTypeSpecialty
MA00011398WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902004864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 185TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S STADIUM WAY",
            "address_2": "STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024802",
            "telephone_number": "253-383-0802",
            "fax_number": "253-383-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "SHANDI",
        "middle_name": "SARAH",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT. L&I",
            "identifier": "120966",
            "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 Jul 8, 2007; 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.