Gwendolyn Kathleen Shattuck is a Massage Therapist practicing in Lake Forest Park, Washington. The National Provider Identifier (NPI) is #1457177420, which was assigned on November 25, 2024, and the registration record was last updated on November 25, 2024. The practitioner's main practice location is at 19519 38th Ave Ne, Lake Forest Park, WA 98155-2609; the contact telephone number is 2062356694. The primary taxonomy of Gwendolyn Kathleen Shattuck is Massage Therapist (225700000X). Gwendolyn Kathleen Shattuck is licensed to practice in the state of Washington (#MA61583202).
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 | 1457177420 |
| Entity Type | Individual |
| Provider Name | GWENDOLYN KATHLEEN SHATTUCK |
| Gender | Female |
| Credential | LMT |
| Practice Address |
19519 38th Ave Ne Lake Forest Park WA 98155-2609 |
| Practice Telephone | 2062356694 |
| Mailing Address |
19519 38th Ave Ne Lake Forest Park WA 98155-2609 |
| Mailing Telephone | 2062356694 |
| Certification Date | 2024-11-25 |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA61583202 | WA |
| Code | 225700000X |
| Taxonomy | Massage Therapist |
| Classification | Massage Therapist |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Definition: 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Krystal Jennings | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | Massage Therapist | 2025-09-06 |
| Ronen Kohn | 1011 Lake St Ste 304, Oak Park, IL 60301-1138 | Massage Therapist | 2025-09-05 |
| Logan Steven Doetschman | 7300 N Mona Lisa Rd Apt 1306, Tucson, AZ 85741-4515 | Massage Therapist | 2025-09-06 |
| Corner Foot Massage LLC | 1609 Spring Cypress Rd Ste Cc, Spring, TX 77388-3667 | Massage Therapist | 2025-09-06 |
| Allyse Delane Holloman | 4844 Nature Trl, Austell, GA 30106-2771 | Massage Therapist | 2025-09-06 |
| Denali A Jacobsen | Po Box 874322, Wasilla, AK 99687-4322 | Massage Therapist | 2025-09-05 |
| Alyssa Archer | 109 Currituck Commerical Dr Ste D, Moyock, NC 27958-9068 | Massage Therapist | 2025-09-05 |
| Andrea Nunez | 5430 Holly Rd Ste 1b, Corpus Christi, TX 78411-4680 | Massage Therapist | 2025-09-05 |
| Chaytea Madison | 5518 E Livingston Ave, Columbus, OH 43232-2866 | Massage Therapist | 2025-09-05 |
| Kenneth Savoy II | 4646 Corona Dr Ste 172, Corpus Christi, TX 78411-4361 | Massage Therapist | 2025-09-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
19519 38TH AVE NE |
| City | LAKE FOREST PARK |
| State | WA |
| Zip Code | 98155-2609 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brandy C Ross · Brandy Ross-Bell | 20126 Ballinger Way Ne # 141, Shoreline, WA 98155-1117 | Midwife | 2006-07-27 |
| Maria Alissandra Castro | 18322 1st Ave Ne Unit G, Shoreline, WA 98155-3557 | Behavior Technician | 2022-11-29 |
| Mallory Johnson | 17204 11th Ave Ne, Shoreline, WA 98155-5112 | Mental Health Counselor | 2018-06-13 |
| Brian D Smith | 20161 45th Ave Ne, Lake Forest Park, WA 98155-1709 | Mental Health Counselor | 2025-06-19 |
| Kierra Mielle Smith | 20126 Ballinger Way Ne # 339, Shoreline, WA 98155-1117 | Chiropractor | 2020-05-07 |
| Jaycie Pearce | 19909 Ballinger Way Ne Ste 101, Shoreline, WA 98155-1249 | Chiropractor | 2025-08-27 |
| Veronica Sedano Torres | 17018 15th Ave. Ne, Shoreline, WA 98155 | Student in an Organized Health Care Education/Training Program | 2023-09-08 |
| Christina May Nelson | 2465 Ne 182nd Ct, Shoreline, WA 98155-3976 | Family Nurse Practitioner | 2020-03-11 |
| Comprehensive Mental Healthcare, PLLC | 19855 25th Ave Ne, Shoreline, WA 98155-1351 | Psychiatry Physician | 2025-08-11 |
| Eric Woodward | 352 Ne 192nd St, Shoreline, WA 98155-2129 | Mental Health Counselor | 2017-09-12 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Carrie Shattuck | 530 Sparrow Ln, Elkview, WV 25071-9589 | Home Health Aide | 2025-07-03 |
| Gwendolyn Shelton · Gwendolyn S Lattimore | 1116 Millis Ave, Boonville, IN 47601-2204 | Pediatrics Physician | 2006-07-30 |
| Roslyn Ann Shattuck | 2600 Sw Holden St, Seattle, WA 98126-3505 | Mental Health Counselor | 2020-11-25 |
| Gwendolyn Shaudre Taylor · Gwendolyn Shaudre Dorsey | 4484 Kellybrook Dr, Concord, NC 28025-7055 | Social Worker | 2025-01-16 |
| Allison Shattuck | 300 North Ave, Battle Creek, MI 49017-3396 | Speech-Language Pathologist | 2025-01-15 |
| Kaylee Shattuck | 203 S Washington Ave Ste 30, Saginaw, MI 48607-1217 | Behavior Technician | 2025-04-22 |
| Kendall Shattuck | 1000 E Paris Ave Se, Grand Rapids, MI 49546-3691 | Behavior Technician | 2025-05-23 |
| Gwendolyn Marie Shelby Rountree · Gwendolyn Marie Shelby Justus | 3 Adventhealth Way Ste 250, Palm Coast, FL 32137-4702 | Physician Assistant | 2021-02-23 |
| Alexia Talyor Shattuck | 1000 S Fremont Ave Bldg A-5, Alhambra, CA 91803-8800 | Behavior Technician | 2025-05-20 |
| Gwendolyn L Gulizia · Gwendolyn L Volmer | 16909 Lakeside Hills Plz Ste 114, Omaha, NE 68130-4652 | Homemaker | 2025-02-07 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |