SHANNON FERNANDES C.M.T.,C.R.
NPI 1285316950
Massage Therapist in Modesto, CA

Q: What is Shannon Fernandes's NPI number?

The NPI number for Shannon Fernandes is 1285316950. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Q: What is Shannon Fernandes's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Fernandes was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2023

1101 STANDIFORD AVE STE B6, MODESTO, CA 95350(209) 484-5683 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Fernandes C.m.t.,c.r. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON FERNANDES C.M.T.,C.R. (NPI 1285316950) is an individual massage therapist in Modesto, California, licensed in California (18345) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1285316950

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameSHANNON FERNANDESCredential: C.M.T.,C.R.

Location Address1101 STANDIFORD AVE STE B6Modesto, CA 95350-0981

Mailing Address3628 Northern Dancer DrModesto, CA 95355-8456

Phone(209) 484-5683

Sole ProprietorYes

Enumeration DateAugust 2, 2023

NPPES CertifiedAugust 2, 2023

✔ NPI 1285316950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 18345

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.

1101 STANDIFORD AVE STE B6, Modesto, CA 95350

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENITY GROUP, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

1101 STANDIFORD AVE STE B6
MODESTO, CA 95350

Stanislaus County (209) 416-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Fernandes's NPI number?

The NPI number for Shannon Fernandes is 1285316950. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Shannon Fernandes located?

Shannon Fernandes practices at 1101 Standiford Ave Ste B6, Modesto, CA 95350. The listed phone number is (209) 484-5683.

What is Shannon Fernandes's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Shannon Fernandes was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.