AMY SHANDELL (NPI# 1548370406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548370406 |
Entity Type | Individual |
Full Name | AMY SHANDELL |
Credential | CNM |
Practice Address |
4400 37th Ave S Seattle WA 98118-1609 |
Mailing Address |
905 Spruce St Ste. 300 Seattle WA 98104-2474 |
Practice Telephone | 2064616957 |
Practice Fax Number | 2064617810 |
Mailing Telephone | 2064616935 |
Mailing Fax Number | 2064618382 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN00061841 | WA | Nursing Service Providers |
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP30001299 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 9600263 | 05 |
Street Address |
4400 37TH AVE S |
City | SEATTLE |
State | WA |
Zip Code | 98118-1609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740265735 | Timothy James Joos | Internal Medicine | 4400 37th Ave S, Seattle, WA 98118-1609 | 2005-12-13 |
1457868028 | Emma Hickey Spohn | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2018-01-04 |
1780113985 | Paul James Kunkel | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-06-09 |
1841728151 | Gabriela Boyle | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-31 |
1366970675 | Elizabeth Hertz-wahl | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-31 |
1497283725 | Rachel Emmick Moore | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-31 |
1932637311 | Erika Linn Fardig | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-30 |
1144758632 | Van Dinh Nguyen | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-26 |
1407384100 | Fiona Lynne Smith | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-25 |
1760910574 | Paula Kett | Registered Nurse | 4400 37th Ave S, Seattle, WA 98118-1609 | 2017-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
Find all providers in zip 98118 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588748297 | Carol Ann Horwitt | Nurse Practitioner | 1229 Madison St Ste 1450, Seattle, WA 98104-3538 | 2006-10-25 |
1790145530 | Laura Bartlett | Nurse Practitioner | 1101 Madison St, Ste 700, Seattle, WA 98104-1306 | 2016-03-04 |
1174932404 | Suzanne K. Wilson | Nurse Practitioner | 4550 Fauntleroy Way Sw, Suite 100, Seattle, WA 98126-2740 | 2014-08-12 |
1548541543 | Mary Lou Kopas | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2011-09-02 |
1730323791 | Elizabeth A Fleming | Nurse Practitioner | 1101 Madison St Ste 1150, Seattle, WA 98104-3558 | 2009-04-21 |
1467670158 | Maryellen Donnelly | Nurse Practitioner | 2001 E Madison St, Seattle, WA 98122-2959 | 2007-04-20 |
1760605083 | Linda A Davis | Nurse Practitioner | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-04-11 |
1427108844 | Janet M Dwight | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-01-10 |
1366538100 | Terry Lynn Sperling | Nurse Practitioner | 4500 9th Ave Ne, Seattle, WA 98105-4737 | 2006-10-05 |
1659359677 | Debra Ann Phelps | Nurse Practitioner | 320 Westlake Ave N, Suite 100, Seattle, WA 98109-5232 | 2006-01-09 |
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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.