SHANNON PENDLETON (NPI# 1265866313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265866313 |
| Entity Type | Individual |
| Full Name | SHANNON PENDLETON |
| Credential | N.P. |
| Practice Address |
3021 Griffin Ave Enumclaw WA 98022-2369 |
| Practice Telephone | 3608256511 |
| Practice Fax Number | 3608256536 |
| Mailing Telephone | 3608256511 |
| Mailing Fax Number | 3608256536 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2015-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP 60565012 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-1615 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3021 GRIFFIN AVE |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419685 | Michael Glen Miller | Orthopaedic Surgery | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2005-09-30 |
| 1861033102 | Rebecca Ann Voorhees | Specialist/Technologist | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2019-10-07 |
| 1194243915 | Joy Yea Chang | Registered Nurse | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2017-08-31 |
| 1134672298 | Kashish Goyal | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2016-07-25 |
| 1699126755 | Kristopher S. Dunbrack | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022 | 2016-06-29 |
| 1972902864 | Magdalena Johnson | Social Worker | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2014-08-18 |
| 1548605926 | Jennifer Sweet | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2013-04-30 |
| 1952696015 | Franciscan Medical Group | Internal Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2011-06-16 |
| 1194045682 | Jennifer Marie Erickson | Physician Assistant | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2010-06-07 |
| 1558523241 | Joseph Magley | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| Find all providers in zip 98022 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734695 | Eugene W. Partridge | Nurse Practitioner | 3021 Griffin Ave, Suite 100, Enumclaw, WA 98022-2369 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.