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Active NPI 1306943071 Individual Practitioner Female Practitioner

Mattie Shaw , LMP

Specialist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Mattie Shaw, LMP is a registered healthcare professional specializing in Specialist in Seattle, WA. Practice services are available at 4110 STONE WAY N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4110 Stone Way N
Suite 201

Seattle, WA 981038000

Telephone 2069922482
Associated Practice Facility / Clinic
🏢 Rocket Nutrition, Llc Facility NPI 1043693641

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.8 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
366 Specialists

Practicing in Seattle, WA (2751 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00003216

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Douglas White , LMP

Massage Therapist

NPI 1073819892

Licensed Massage Practitioner

NPI 1093979239

Doctor of Naturopathic Medicine

NPI 1255518973

Licensed Acupuncturist, Doctor of Philosophy (Ph.D.)

NPI 1265761209

Licensed Massage Practitioner, Licensed Acupuncturist

NPI 1386861912

Licensed Acupuncturist

Joseph Cote , LMP, CCT

Massage Therapist

NPI 1407907819

Licensed Massage Practitioner, CCT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4110 STONE WAY N, SUITE 201, SEATTLE, WA 981038000 (Tel: 2069922482)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4110 STONE WAY N, SUITE 201, SEATTLE, WA 981038000 (Tel: 2069922482)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTIE SHAW, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA00003216 in WA)

🟢
Initial NPI Registration & Enumeration September 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306943071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4110 Stone Way N, Suite 201

Seattle, WA 981038000

Phone: 2069922482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.