SHANTELL LEE LEINAN (NPI# 1659885390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659885390 |
| Entity Type | Individual |
| Full Name | SHANTELL LEE LEINAN |
| Other Name | SHANTELL LEE TAYLOR |
| Credential | LMT |
| Practice Address |
530 Bogachiel Way Forks WA 98331-9120 |
| Mailing Address |
530 Bogachiel Way Forks WA 98331 |
| Practice Telephone | 3603746271 |
| Practice Fax Number | 3603742520 |
| Mailing Telephone | 3603746271 |
| Mailing Fax Number | 3603742520 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00015840 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | FACILITY NPI NUMBER | 1891879680 | 01 |
| Street Address |
530 BOGACHIEL WAY |
| City | FORKS |
| State | WA |
| Zip Code | 98331-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009481 | Charles H. Miller | Nurse Anesthetist, Certified Registered | 530 Bogachiel Way, Forks, WA 98331-9120 | 2006-03-29 |
| 1508404799 | Leta Maile Lawhead | Social Worker | 530 Bogachiel Way, Forks, WA 98331-9120 | 2019-12-18 |
| 1205394772 | Kyle Connery | Physical Therapist | 530 Bogachiel Way, Forks, WA 98331-9120 | 2019-03-04 |
| 1720538903 | Ken Morris | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-10-11 |
| 1548715394 | Christine Lee | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-08-22 |
| 1376098368 | Dayna Guillermo | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2016-08-18 |
| 1245636141 | Edna Bowlby | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| 1144626045 | Jolene Price | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| 1124424957 | Linton Petersen | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-11-05 |
| 1114329794 | James Guthrie | Counselor | 530 Bogachiel Way, Forks, WA 98331-9120 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1497298046 | Cathy A. Clark L.m.p. | Massage Therapist | 186-375 Hwy. 101, Forks, WA 98331 | 2016-11-30 |
| 1841447752 | Concerned Citizens | Early Intervention Provider Agency | 945 S Forks Ave, Forks, WA 98331 | 2008-08-21 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1578612875 | Anea Beck Ownes | Massage Therapist | 230 Willow Ave, Forks, WA 98331 | 2007-01-09 |
| 1295820173 | Howard Edward Berris | Dentist | 37325 W 12 Mile Rd, Suite B, Farmington Hills, MI 98331 | 2006-10-04 |
| 1760455075 | Richard Lee Dickson | Family Medicine | 481 W E St, Forks, WA 98331 | 2006-02-08 |
| 1700382843 | Vernon Rondeau | Registered Nurse | 560 Quileute Heights, La Push, WA 98331 | 2018-04-05 |
| 1649353178 | Susan Keilman | Midwife | 590 Bogachiel Way, Forks, WA 98331 | 2006-10-20 |
| Find all providers in zip 98331 | ||||
| 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 |
|---|---|---|---|---|
| 1497298046 | Cathy A. Clark L.m.p. | Massage Therapist | 186-375 Hwy. 101, Forks, WA 98331 | 2016-11-30 |
| 1578612875 | Anea Beck Ownes | Massage Therapist | 230 Willow Ave, Forks, WA 98331 | 2007-01-09 |
| 1124185202 | Rosemary A Anderson | Massage Therapist | 232 Willow Avenue, Forks, WA 98333 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
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| 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.