Katelyn Shannon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA10190 Issued in FL

Practice address

444 SW Alachua Ave
Lake City, FL 32025-5213

Phone

(386) 719-5656

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1952214199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213",
            "telephone_number": "386-719-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "KATELYN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA10190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shands at Lake Shore Inc
• Shands at Lake Shore Inc (Lake Shore Orthopedic Specialists)
• Shands at Lake Shore Inc (Lake Shore Specialty Group)
• Shands at Lake Shore Inc (Shands Surgical Specialists of Lake City)
• Shands Lake Shore Regional Medical Center
• Sharing N Caring Medical Transport
• Lewis Mitchell Sharp, ARNP, CRNA
• Delanie Sharpe, APRN
• Catherine Marie Shaughnessy, LPN
• Rebecca Anne Sheeder, O.D.

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.