SHANNON M GARRETT (NPI# 1699035337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699035337 |
| Entity Type | Individual |
| Full Name | SHANNON M GARRETT |
| Credential | LMP |
| Practice Address |
5005 Main Street Suite 125 Tacoma WA 98407-3168 |
| Mailing Address |
5005 Main St Suite 125 Tacoma WA 98407-3168 |
| Practice Telephone | 2535087588 |
| Mailing Telephone | 2535087588 |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60275882 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0302421 | 01 |
| WA | STATE L&I | 0302385 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013423870 | Shannon Garrett | Behavioral Analyst | 5446 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3668 | 2017-12-15 |
| 1023567211 | Shannon Garrett | Specialist/Technologist, Other | 1801 W End Ave Ste 1610, Nashville, TN 37203-2532 | 2016-09-28 |
| 1619358215 | Shannon Garrett | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1194141838 | Shannon Garrett | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2014-03-05 |
| 1699096057 | Shannon Coughlin Garrett | Nurse Practitioner | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2010-06-18 |
| Street Address |
5005 MAIN STREET SUITE 125 |
| City | TACOMA |
| State | WA |
| Zip Code | 98407-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
| 1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
| 1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
| 1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
| Find all providers in zip 98407 | ||||
| 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 |
|---|---|---|---|---|
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1629684519 | Deon Abdullah | Massage Therapist | 5820 S Sheridan Ave, Tacoma, WA 98408-2304 | 2020-09-16 |
| 1699389205 | Elissa Aspuria | Massage Therapist | 4008 S Pine St, Tacoma, WA 98409-5612 | 2020-09-01 |
| 1841803772 | Cheryl Tjulander | Massage Therapist | 1102 A St Ste 408, Tacoma, WA 98402-5010 | 2020-08-29 |
| 1336768845 | Lee Pham Parkin | Massage Therapist | 2118 Yakima Ct, Tacoma, WA 98405-3864 | 2020-04-14 |
| 1275168866 | Virginia Drohan | Massage Therapist | 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 | 2020-03-04 |
| 1770117350 | Deja Monique Farrant | Massage Therapist | 10926 113th Ave Sw, Tacoma, WA 98498-1465 | 2020-02-24 |
| 1821635731 | Erin Elise Harris | Massage Therapist | 4916 Center St Ste G, Tacoma, WA 98409-2348 | 2019-12-10 |
| 1366088643 | Bryan Dwight Daniels | Massage Therapist | 2924 N 14th St, Tacoma, WA 98406-6906 | 2019-11-21 |
| 1255977559 | Kathleen Deal | Massage Therapist | 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 | 2019-11-21 |
| Find all providers in TACOMA | ||||
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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.