Individual provider Active NPI

Shannon Kay Herber

  • Physical Therapy Assistant
  • Des Moines, WA
National Provider Identifier
1982825873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
27005 Pacific Highway South
Des Moines, WA 98198
Phone
(253) 839-9280
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

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
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

27005 Pacific Highway South
Des Moines, WA 98198

Mailing address

27005 Pacific Highway South
Des Moines, WA 98198
Phone (253) 839-9280

Other names 1

  • Shannon Kay Herber Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982825873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 PACIFIC HIGHWAY SOUTH",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "98198",
            "telephone_number": "253-839-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 PACIFIC HIGHWAY SOUTH",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "98198",
            "telephone_number": "253-839-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBER",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HERBER",
            "middle_name": "KAY",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Moines, 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.