SHANNON M KENNEALLY (NPI# 1174858898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174858898 |
| Entity Type | Individual |
| Full Name | SHANNON M KENNEALLY |
| Credential | LMP |
| Practice Address |
3595 Nw Bucklin Hill Rd Silverdale WA 98383-8503 |
| Mailing Address |
Po Box 483 Silverdale WA 98383-0483 |
| Practice Telephone | 3606983140 |
| Practice Fax Number | 3606921441 |
| Mailing Telephone | 3606983140 |
| Mailing Fax Number | 3606921441 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60106210 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3595 NW BUCKLIN HILL RD |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477634939 | Karen Lynn Busso | Chiropractor | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2006-10-18 |
| 1750903639 | Kitsap Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2020-05-13 |
| 1750752531 | Michelle Spencer | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2015-10-19 |
| 1578946570 | Brittany Garner | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2015-07-08 |
| 1245629161 | Lindsay Allen | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2015-01-15 |
| 1063843134 | Mary Catherine Coffee | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2013-11-27 |
| 1659634392 | Lisa Lorraine Gross | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2012-06-18 |
| 1518254283 | Ella Harmony Hoffman | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2011-07-01 |
| 1811125370 | Leah M Erdmann | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2009-06-23 |
| 1780811976 | Mary A Stinnett | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| 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 |
|---|---|---|---|---|
| 1063906923 | Kyleen Alane Campbell | Massage Therapist | 2414 Nw Myhre Rd Ste 120, Silverdale, WA 98383-7669 | 2018-06-14 |
| 1104333202 | Stephanie Oleachea | Massage Therapist | 3423 Nw Byron St, Silverdale, WA 98383-9127 | 2018-01-10 |
| 1336682756 | Veronica Lovett Santure | Massage Therapist | 3022 Albacore Cir Apt B3, Silverdale, WA 98315-9703 | 2016-12-02 |
| 1881136323 | Sarah Chamberlin | Massage Therapist | 9119 Ridgetop Blvd Nw Ste 260, Silverdale, WA 98383-8549 | 2016-11-15 |
| 1689091605 | Indigo Fountain Massage | Massage Therapist | 3656 Nw Munson St, #1, Silverdale, WA 98383-9140 | 2014-03-27 |
| 1063840411 | Julie Ancero | Massage Therapist | 9216 Bayshore Dr Nw Ste 200, Silverdale, WA 98383-8533 | 2013-10-23 |
| 1710313598 | Jessica Erin Mercer | Massage Therapist | 9621 Mickelberry Rd Nw Ste 108, Silverdale, WA 98383-8301 | 2013-09-24 |
| 1124462874 | Megan Jean Amos | Massage Therapist | 3595 Nw Buklin Hil Rd, Silverdale, WA 98383-8503 | 2013-04-24 |
| 1427391655 | Shayla Spring Eaton | Massage Therapist | 11130 Shipside Ln Nw, Apt L102, Silverdale, WA 98383-8711 | 2013-04-06 |
| 1164768677 | Chad Markham | Massage Therapist | 3888 Nw Randall Way, Suite 102, Silverdale, WA 98383-7847 | 2013-01-02 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on SHANNON M KENNEALLY.
| 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.