MRS. SHELLIE MARIE BEAUDETTE (NPI# 1326351578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326351578 |
| Entity Type | Individual |
| Full Name | MRS. SHELLIE MARIE BEAUDETTE |
| Credential | LMP |
| Practice Address |
1225 W Front St Port Angeles WA 98362 |
| Mailing Address |
350 Miletich Ln Port Angeles WA 98362-9263 |
| Practice Telephone | 3604600247 |
| Mailing Telephone | 3604600247 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60136250 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1225 W FRONT ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| 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 |
|---|---|---|---|---|
| 1164038279 | Susana Jimenez | Massage Therapist | 104 N Laurel St Ste 101, Port Angeles, WA 98362-2637 | 2020-09-23 |
| 1982221735 | Molly Dawn Messmer | Massage Therapist | 3210 S Laurel St, Port Angeles, WA 98362-3722 | 2020-06-28 |
| 1699390526 | Vivere Massage Therapy LLC | Massage Therapist | 206 Motor Ave, Port Angeles, WA 98362-2540 | 2020-06-16 |
| 1518511658 | Madeline Burkhartsmeier | Massage Therapist | 106 N Lincoln St, Port Angeles, WA 98362-2919 | 2019-07-26 |
| 1417414863 | Jordan Fickas | Massage Therapist | 133 E 1st St, Port Angeles, WA 98362-2902 | 2019-02-21 |
| 1689189649 | Cassandra Ann Smith | Massage Therapist | 710 Georgiana St, Port Angeles, WA 98362-3510 | 2017-12-12 |
| 1629593397 | Lorin Green | Massage Therapist | 118 N Liberty St Apt A, Port Angeles, WA 98362-4322 | 2017-08-03 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1700233871 | Maureen Leigh Hagaman | Massage Therapist | 516 E 11th St, Port Angeles, WA 98362-7936 | 2016-05-18 |
| 1417302753 | Bryan Toyer | Massage Therapist | 316 W 5th St, Port Angeles, WA 98362-2210 | 2016-04-24 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.