Active NPI
Shanna Lee Herrick, MOT, OTR/L
- Occupational Therapist
- Federal Way, WA
National Provider Identifier
1922358829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60224426
- Practice address
- 33330 8TH Ave S
Federal Way, WA 98003-6325 - Phone
- (253) 945-4433
- NPI assigned
- Sep 18, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 60224426 | WA | Primary |
Addresses
Primary practice location
33330 8TH Ave S
Federal Way, WA 98003-6325
Mailing address
33330 8TH Ave S
Federal Way, WA 98003-6325
Phone (253) 945-4433
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 |
|---|---|---|---|
| OT 60224426 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1922358829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33330 8TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036325",
"telephone_number": "253-945-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33330 8TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036325",
"telephone_number": "253-945-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRICK",
"first_name": "SHANNA",
"middle_name": "LEE",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60224426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.