SHANNON L CORBIN (NPI# 1689613085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689613085 |
| Entity Type | Individual |
| Full Name | SHANNON L CORBIN |
| Credential | MD |
| Practice Address |
1210 Sw 136th St Navos Mhwc Burien WA 98166-1214 |
| Practice Telephone | 2062410990 |
| Practice Fax Number | 2062576830 |
| Mailing Telephone | 2062410990 |
| Mailing Fax Number | 2062576830 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00046072 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2011628 | 05 |
| Street Address |
1210 SW 136TH ST NAVOS MHWC |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647769 | Caitlin Leigh Sellhorn | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-17 |
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1174130504 | Natalie D. Grenfell | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1407462088 | Samantha Lynn Nutter | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-19 |
| 1184239543 | Taylor Speegle | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-12 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
| 1881212249 | Carrie Persephone Ancel | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033529284 | April Raye Hunziker | Psychiatry & Neurology | 16251 Sylvester Rd Sw, Burien, WA 98166 | 2014-04-28 |
| 1487097762 | Robert Tyler Reidenbaugh | Psychiatry & Neurology | 12101 Ambaum Blvd Sw, Burien, WA 98146 | 2013-04-16 |
| 1164733184 | Tovi Avnon | Psychiatry & Neurology | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166-3066 | 2010-06-24 |
| 1639207145 | Lisa M Hacker | Psychiatry & Neurology | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2007-02-28 |
| 1417000852 | Lewis A Vanosdel IIi | Psychiatry & Neurology | 1033 Sw 152nd St, Navos Sunstone Youth Residential, Burien, WA 98166 | 2007-01-19 |
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| 1356952766 | Nvelup Telehealth Pllc | Psychiatry & Neurology | 804 N Monroe St Ste 502, Spokane, WA 99201-2110 | 2020-08-11 |
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| 1962027045 | Peter Lucas, Pllc | Psychiatry & Neurology | 10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 | 2020-06-15 |
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1700436367 | Danielle Roche Paschall | Psychiatry & Neurology | 102 23rd Ave Se Ste A, Puyallup, WA 98372-4501 | 2019-09-16 |
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1154987931 | Advanced Wellness Mental Health, Pllc | Psychiatry & Neurology | 26828 Maple Valley Highway, #202, Maple Valley, WA 98038-1262 | 2019-05-16 |
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1881162345 | Jillian Yoshimoto Do Pllc | Psychiatry & Neurology | 7100 132nd Pl Se Apt 106, Newcastle, WA 98059-3149 | 2018-11-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
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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.