SHANNON MARIE DICKSON (NPI# 1407291578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407291578 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE DICKSON |
| Credential | LMP |
| Practice Address |
1400 112th Ave Se Suite 100 Bellevue WA 98004-6901 |
| Practice Telephone | 4252233712 |
| Mailing Telephone | 4252233712 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 603275027 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826153 | Shannon Dickson | Physical Therapy Assistant | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-18 |
| 1639311293 | Shannon Dickson | Psychologist | 2716 X St, Sacramento, CA 95818-2725 | 2009-03-29 |
| Street Address |
1400 112TH AVE SE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418560 | Tatjana Deretic | Psychiatry & Neurology | 1400 112th Ave Se, Ste. 100, Bellevue, WA 98004-6901 | 2006-06-23 |
| 1508392929 | Equilibrium PCs, Pllc | Psychologist | 1400 112th Ave Se, Suite 205, Bellevue, WA 98004-6901 | 2017-05-04 |
| 1881066652 | Karla Garcia | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2015-10-20 |
| 1417328691 | Tessa Nicole Cooke | Counselor | 1400 112th Ave Se, Ste. 100 #35, Bellevue, WA 98004-6901 | 2015-10-13 |
| 1437540788 | Patti Davis Counseling | Community/Behavioral Health | 1400 112th Ave Se, Cedar Building Suite 202, Bellevue, WA 98004-6901 | 2015-02-09 |
| 1962801811 | Linda Mcgarvey | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2014-08-16 |
| 1255742896 | Michael Keegan | Counselor | 1400 112th Ave Se, Ste 202, Bellevue, WA 98004-6901 | 2014-05-16 |
| 1003244948 | Jessica Kicha | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-10-30 |
| 1376892711 | Susan Ross | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-08-30 |
| 1467718890 | Adriana Prengler | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686569 | Susan M Bowers | Specialist | 365 118th Ave Se Ste 201, Bellevue, WA 98005-9805 | 2018-04-09 |
| 1346610045 | Michael Rosengrant | Specialist | 10655 Ne 4th Street Suite 101, Bellevue, WA 98004 | 2015-10-07 |
| 1649616673 | Dana Pellegrini | Specialist | 12635 Se 26th Pl, Bellevue, WA 98005-4336 | 2013-05-16 |
| 1891031548 | Will S Fernyhough | Specialist | 10050 Ne 10th St Ste C, Bellevue, WA 98004-4121 | 2012-12-28 |
| 1083968911 | Healing Serenity Therapeutic Massage, LLC | Specialist | 5806 119th Ave Se, Bellevue, WA 98006-3749 | 2012-10-30 |
| 1265706303 | Eugene Robert Butenko | Specialist | 13250 Ne 55th Pl, Bellevue, WA 98005-1029 | 2012-03-07 |
| 1093084816 | Debra Jane Casey | Specialist | 303 145th Pl Ne, Bellevue, WA 98007-4933 | 2011-12-22 |
| 1033487699 | Shirley Ann Leeper-carcione | Specialist | 16610 Lake Hills Blvd, Bellevue, WA 98008-4746 | 2011-12-09 |
| 1821385600 | Jixing Yin | Specialist | 14100 Ne 20th St Ste 201, Bellevue, WA 98007-3727 | 2011-06-30 |
| 1588956445 | Melissa Jayne Fairshter | Specialist | 136 102nd Ave Se, Bellevue, WA 98004-8134 | 2011-05-11 |
| Find all providers in BELLEVUE | ||||
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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.