Rose Eleanor Shepherd, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60321229 Issued in WA

Practice address

509 Custer Way SE
Tumwater, WA 98501-3332

Phone

(360) 451-1282

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1922347301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WICHMAN ST S",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985899291",
            "telephone_number": "360-451-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CUSTER WAY SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013332",
            "telephone_number": "360-451-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ROSE",
        "middle_name": "ELEANOR",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60321229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sforest, Inc. (Brightstar Care of South Puget Sound)
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• Shari L Aldrich Massage Therapy Corporation (Cascadia360 Massage & Wellness)
• Hailey Ann Shelton, MS
• Lalani Shelton, P.T.
• Keara Sheppard, LMHC
• Barbara J Sherry, PAC
• John Junji Shingu, DDS
• Tyler Jacob Shrofe
• Maya Rose Siemers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.