SHANNA RAE PARKER (NPI# 1578162343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578162343 |
| Entity Type | Individual |
| Full Name | SHANNA RAE PARKER |
| Credential | MT |
| Practice Address |
4226 E 4th St Apt 1 Long Beach CA 90814-4927 |
| Practice Telephone | 5623807044 |
| Mailing Telephone | 5623807044 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 19413 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831604990 | Shanna Kay Parker | Specialist | 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 | 2017-12-11 |
| 1740676659 | Shanna Parker | Counselor | 2008 Castillo Dr Sw, Los Lunas, NM 87031-9138 | 2015-04-08 |
| Street Address |
4226 E 4TH ST APT 1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1760676274 | Charles Edward Criddle | Chiropractor | 352 Newport Ave, Long Beach, CA 90814 | 2007-08-29 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1366595332 | Roger Justin Wood | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814 | 2007-01-20 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| Find all providers in zip 90814 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223430 | Kelly Schott | Massage Therapist | 455 E Ocean Blvd Apt 702, Long Beach, CA 90802-4941 | 2020-10-19 |
| 1568069615 | Michael Navalta | Massage Therapist | 436 W 4th St Apt 8, Long Beach, CA 90802-2853 | 2020-10-01 |
| 1144837527 | Keith Garrison | Massage Therapist | 1501 E 3rd St Apt E, Long Beach, CA 90802-3623 | 2020-09-29 |
| 1053928846 | Beatriz Diego | Massage Therapist | 1535 E Hellman St Apt 8, Long Beach, CA 90813-6359 | 2020-09-26 |
| 1912514837 | Patricia Manseras | Massage Therapist | 3100 E 7th St Apt 7, Long Beach, CA 90804-4985 | 2020-09-24 |
| 1609482777 | Sybyl Cohen | Massage Therapist | 3703 Country Club Dr Unit 2, Long Beach, CA 90807-3127 | 2020-09-23 |
| 1124634274 | Tara Quinn | Massage Therapist | 5279 E The Toledo Apt 25279e, Long Beach, CA 90803-1862 | 2020-09-23 |
| 1619582178 | Mauricio Patino | Massage Therapist | 465 Shore Rd Apt 6r, Long Beach, NY 11561-5338 | 2020-09-11 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1013564368 | Kriscynthia Outlaw | Massage Therapist | 6642 E Pacific Coast Hwy Ste 105, Long Beach, CA 90803-4208 | 2019-08-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
Please comment or provide details below to improve the information on SHANNA RAE PARKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.