MS. SHAUNA KATHLEEN SHERIDAN (NPI# 1972977494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972977494 |
| Entity Type | Individual |
| Full Name | MS. SHAUNA KATHLEEN SHERIDAN |
| Credential | LMP |
| Practice Address |
8202 Ne State Highway 104 Ste 105 Kingston WA 98346-9454 |
| Practice Telephone | 2062970037 |
| Mailing Telephone | 2062970037 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 00018011 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8202 NE STATE HIGHWAY 104 STE 105 |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-9454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336025 | Kingston Crossing Wellness Ps | Chiropractor | 8202 Ne State Highway 104 Ste 105, Kingston, WA 98346-9454 | 2007-06-27 |
| 1316550049 | Sadeddin Yamlikha | Chiropractor | 8202 Ne State Highway 104 Ste 105, Kingston, WA 98346-9454 | 2020-08-24 |
| 1740767730 | Jennifer Poirier Hill | Massage Therapist | 8202 Ne State Highway 104 Ste 105, Kingston, WA 98346-9454 | 2018-07-23 |
| 1194128009 | Sean Patrick Guinan | Acupuncturist | 8202 Ne State Highway 104 Ste 105, Kingston, WA 98346-9454 | 2014-10-06 |
| 1255647293 | Peggy Sue Snow | Massage Therapist | 8202 Ne State Highway 104 Ste 105, Kingston, WA 98346-9454 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| 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 |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1982234324 | Melanie Tennessee Molineau | Massage Therapist | 502 Albany Ave, Kingston, NY 12401-2141 | 2020-01-24 |
| 1487140646 | Sara Foster | Massage Therapist | 6132 Ne Carlin Ct, Kingston, WA 98346-9408 | 2018-07-10 |
| 1942713060 | Wanda Sue Young | Massage Therapist | 345 Lawson Mill Rd, Kingston, TN 37763-4523 | 2017-11-10 |
| 1518322692 | Jamie Maloney | Massage Therapist | 26291 Pennsylvania Ave Ne, Apt 305, Kingston, WA 98346-7681 | 2015-12-16 |
| 1629478318 | Gregg Thomas Dart | Massage Therapist | 86 John St, Kingston, NY 12401 | 2014-08-29 |
| 1720409063 | Carolye Gurvitch | Massage Therapist | 136 Ashokan Rd, Kingston, NY 12401-7800 | 2014-01-03 |
| 1558704007 | Kari E Hoyt | Massage Therapist | 676 Aaron Ct, Kingston, NY 12401-2968 | 2013-04-15 |
| 1841530342 | Lea Ani Kaiser | Massage Therapist | 73 Crown St, Kingston, NY 12401-3833 | 2013-02-20 |
| 1679812507 | Sherrie Lee Petrowski-mcdade | Massage Therapist | 505 Northampton St, Second Floor, Kingston, PA 18704-4500 | 2013-02-13 |
| Find all providers in KINGSTON | ||||
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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.