SHANNON MARIE BERGER (NPI# 1679772594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679772594 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE BERGER |
| Credential | LMP |
| Practice Address |
1501 Pottery Ave Port Orchard WA 98366-3712 |
| Practice Telephone | 3608766865 |
| Practice Fax Number | 3608765507 |
| Mailing Telephone | 3608766865 |
| Mailing Fax Number | 3608765507 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00021515 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635794 | Shannon Marie Berger | Counselor | 5005 Cinnamon Dr, Matthews, NC 28104-6202 | 2020-06-29 |
| 1043528045 | Shannon C Berger | Physician Assistant | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2010-09-24 |
| Street Address |
1501 POTTERY AVE |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841255791 | Brian C Willyard | Chiropractor | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2006-04-20 |
| 1467998070 | Jessica Mason | Massage Therapist | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2017-01-06 |
| 1710128103 | Brandon Eric Shumaker | Chiropractor | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2009-03-13 |
| 1699949172 | Alex Carlton Plum | Chiropractor | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2008-04-16 |
| 1255517264 | Marsha Trivett | Massage Therapist | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2008-01-21 |
| 1003005653 | Action Chiropratic | Chiropractor | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2007-10-19 |
| 1114133808 | Katina Marie Durst | Massage Therapist | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2007-05-16 |
| 1720195761 | Douglas Smith | Chiropractor | 1501 Pottery Ave, Port Orchard, WA 98366-3712 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| 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 |
|---|---|---|---|---|
| 1619528205 | Jamie L Nevins | Massage Therapist | 781 Sw Lider Rd, Port Orchard, WA 98367-7545 | 2019-09-25 |
| 1871009407 | Mary Ann Beberman | Massage Therapist | 11111 Woodchuck Ln Se, Port Orchard, WA 98367-8280 | 2017-12-19 |
| 1780105676 | Abigail Elizabeth Newcombe | Massage Therapist | 1800 Se Mile Hill Dr Ste 150, Port Orchard, WA 98366-3517 | 2017-06-29 |
| 1891239463 | Kyla Ann-marie Deisler | Massage Therapist | 1707 Dekalb St, Port Orchard, WA 98366-4103 | 2016-12-15 |
| 1558735548 | Amber Brown | Massage Therapist | 2080 Se Sedgwick Rd, Suite 200, Port Orchard, WA 98366-7003 | 2015-11-14 |
| 1699165126 | Zoe Himmah | Massage Therapist | 11122 Harland Ln Se, Port Orchard, WA 98367-8228 | 2015-02-05 |
| 1730588518 | Melissa Olsen | Massage Therapist | 3664 Se Baker Rd, Port Orchard, WA 98367-7874 | 2014-08-18 |
| 1427494525 | Ailee S Regal | Massage Therapist | 6609 Long Lake Rd Se, Port Orchard, WA 98367-8623 | 2013-05-15 |
| 1619220779 | Katherine Ann Blanchard | Massage Therapist | 1950 Pottery Ave Ste 150, Port Orchard, WA 98366-2501 | 2012-10-25 |
| 1346599263 | Elizabeth G Colenaty | Massage Therapist | 20 Se Terrace Ln, Port Orchard, WA 98367-7243 | 2012-09-06 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.