DR. SHANNON DUFFY (NPI# 1215454574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454574 |
| Entity Type | Individual |
| Full Name | DR. SHANNON DUFFY |
| Credential | APRN |
| Practice Address |
12704 76th Ave S Seattle WA 98178-4811 |
| Mailing Address |
955 Powell Ave Sw Renton WA 98057-2908 |
| Practice Telephone | 2068393540 |
| Mailing Telephone | 4252771311 |
| Mailing Fax Number | 4252771566 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60758522 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60758522 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 S 2nd St, Renton, WA 980572011 | 4252265536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063910586 | Shannon Patricia Duffy | Behavior Technician | 4085 Hancock Bridge Pkwy Ste 101, North Fort Myers, FL 33903-7220 | 2018-01-30 |
| 1891140943 | Shannon M. Duffy | Counselor | 300 W Adams St Ste 514, Chicago, IL 60606-5108 | 2016-04-26 |
| 1922243831 | Shannon Kathlene Duffy | Dietitian, Registered | 10833 Le Conte Ave, 32-263 Chs, Los Angeles, CA 90095-3075 | 2008-12-05 |
| 1255427399 | Shannon Leigh Duffy | Dentist | 20 Pondmeadow Dr, Suite 202, Reading, MA 01867-3218 | 2006-10-05 |
| Street Address |
12704 76TH AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98178-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396254736 | Healthpoint | Clinic/Center | 12704 76th Ave S, Seattle, WA 98178-4811 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417474990 | Jerid Norbert Stevenot | Occupational Therapist | 12037 80th Ave S, Seattle, WA 98178 | 2017-08-25 |
| 1518203785 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 11900 Beacon Avenue S., Seattle, WA 98178 | 2012-12-17 |
| 1740514439 | Jae Lyung Hur | Dentist | 7632 S 126th St., Seattle, WA 98178 | 2009-09-28 |
| 1649411190 | Premier Nursing Care Agency | Registered Nurse | 5707 South Augusta St, Seattle, WA 98178 | 2009-03-13 |
| 1861641177 | Bonnie M Lee | Massage Therapist | 10460 Waters Ave S., Seattle, WA 98178 | 2008-09-10 |
| 1558424473 | Planned Parenthood of The Great Northwest and The Hawaiian Islands | Clinic/Center | 2001 East Madison Street, Seattle, WA 98178 | 2006-12-19 |
| 1689787913 | Brian Wilhoi Chan | Chiropractor | 12419 Rentan Ave S, Seattle, WA 98178 | 2006-08-17 |
| 1780110106 | Rachael Bowler | Student in an Organized Health Care Education/Training Program | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1508392937 | Tam Pham | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1093241424 | Brenda Taylor | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| Find all providers in zip 98178 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871007 | Holly Jean Irvin | Nurse Practitioner | 701 5th Ave N Unit 323, Seattle, WA 98109-5100 | 2020-08-10 |
| 1164080602 | Abigail Bracken | Nurse Practitioner | 2713 S Elmwood Pl, Seattle, WA 98144-3131 | 2019-05-30 |
| 1447813589 | Maria Elena Ovalles Van Gaver | Nurse Practitioner | 1604 14th Ave, Seattle, WA 98122-4026 | 2019-04-15 |
| 1043788292 | Zechariah T Thiry | Nurse Practitioner | 1600 2nd Ave Apt 811, Seattle, WA 98101-3278 | 2018-11-06 |
| 1124503974 | Katrina Korreckt | Nurse Practitioner | 135 Nw 76th St, Seattle, WA 98117-3016 | 2018-09-27 |
| 1275011470 | Amber Lynn Hawkins | Nurse Practitioner | 11531 Bartlett Ave Ne, Seattle, WA 98125-5832 | 2018-07-31 |
| 1346748985 | Thu Van Nguyen | Nurse Practitioner | 317 Ne Thornton Pl Ste 10a, Seattle, WA 98125-8020 | 2018-01-29 |
| 1356860886 | Taylor Donovan | Nurse Practitioner | 509 Olive Way Ste 752, Seattle, WA 98101-3171 | 2017-09-15 |
| 1215458674 | Melissa Mary Fessel | Nurse Practitioner | 601 Broadway Ste 600, Seattle, WA 98122-5330 | 2017-07-06 |
| 1730531203 | Jennifer C. Edwards | Nurse Practitioner | 4060 East Stevens Way Ne, Seattle, WA 98195-5569 | 2016-07-08 |
| Find all providers in SEATTLE | ||||
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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.