SHANNON ELLIS


Address: 2235 Lake Heights Dr, Everett, WA 98208-6030
Phone: 4253383000

SHANNON ELLIS (NPI# 1710359849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710359849
Entity Type Individual
Full Name SHANNON ELLIS
Credential ARNP, AGACNP-BC
Practice Address 2235 Lake Heights Dr
Everett
WA 98208-6030
Practice Telephone 4253383000
Practice Fax Number 4253381147
Mailing Telephone 4253383000
Mailing Fax Number 4253381147
Enumeration Date 2015-10-28
Last Update Date 2015-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP60591042 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANNON ELLIS

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1750989356 Shannon Rose Ellis Nurse Practitioner 1460 Fairway Oaks Dr, Casselberry, FL 32707-5140 2020-10-15
1487165858 Shannon Noel Ellis Counselor 48 Private Drive 339, South Point, OH 45680-8919 2017-10-12
1295706166 Shannon Bolling Ellis Preventive Medicine 2600 Hwy 301s, Jesup, GA 31599-5641 2006-01-30
1841848678 Shannon M Ellis Physician Assistant 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 2019-08-26
1033606116 Shannon Ellis Behavior Technician 515 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4739 2018-04-15
1568867430 Shannon M Ellis Physical Therapy Assistant 5775 Old Winder Hwy, Braselton, GA 30517-1603 2014-11-04
1245644632 Shannon Ellis Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2014-06-13
1710322805 Shannon Hope Ellis Social Worker 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 2013-05-03
1124219563 Shannon Scott Ellis Family Medicine 26 W Jackson Commons Dr, Hoschton, GA 30548-1897 2007-08-08
1740483734 Shannon B Ellis Obstetrics & Gynecology 800 Saint Vincents Dr, Suite 500, North Tower, Birmingham, AL 35205-1620 2007-06-07

Office Location

Street Address 2235 LAKE HEIGHTS DR
City EVERETT
State WA
Zip Code 98208-6030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124340955 Jennifer Louise Fox Physical Therapist 2235 Lake Heights Dr, Everett, WA 98208-6030 2010-02-21
1649721218 Devin Tani Kanoe Gray Speech-Language Pathologist 2235 Lake Heights Dr, Everett, WA 98208-6030 2016-10-19
1518416130 Barbara Acoba Physical Therapy Assistant 2235 Lake Heights Dr, Everett, WA 98208-6030 2016-09-23
1093164592 Jodi Swobody Speech-Language Pathologist 2235 Lake Heights Dr, Everett, WA 98208-6030 2016-06-07
1487026308 Sarah Morgan Nurse Practitioner 2235 Lake Heights Dr, Everett, WA 98208-6030 2015-10-30
1376937664 Janna Ruberry Sullivan Physical Therapy Assistant 2235 Lake Heights Dr, Everett, WA 98208-6030 2015-03-24
1316388432 Victor Emmanuel Obillo IIi Physical Therapist 2235 Lake Heights Dr, Everett, WA 98208-6030 2013-07-17
1811230246 Shari B Rosner Occupational Therapist 2235 Lake Heights Dr, Everett, WA 98208-6030 2013-04-03
1255631362 Carlyn Patricia Matson Occupational Therapist 2235 Lake Heights Dr, Bethany At Silver Lake, Everett, WA 98208-6030 2010-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790270296 Kenneth Britt Dyer Registered Nurse 10333 19th Ave, Se, Ste #109, Everett, WA 98208 2018-06-27
1518482215 Glacier Peak Healthcare, Inc. Home Health 10530 19th Ave Se Ste 201, Everett, WA 98208 2017-08-03
1114454865 Aliza Kreisman Registered Nurse 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 2017-05-12
1902269418 Clay Eakin Counselor 2732 Grand Evenue, Everett, WA 98208 2016-04-01
1467810259 Elizabeth Anne Powley Marriage & Family Therapist 1920 100th Street Southeast, Bld C3, Everett, WA 98208 2016-02-08
1659745842 Andrea Rose Bedlington Pharmacist 11407 33rd Dr. Se, Everett, WA 98208 2015-11-25
1396123865 Sound Surgeons Pllc Clinic/Center 125 130th Street Se, 1st Floor, Everett, WA 98208 2015-05-15
1831576537 Chris Sturgeon Counselor 10102 Meridian Ave, Everett, WA 98208 2015-05-01
1982011128 James M Lee Physical Therapist 10821 19th Ave Se Ste 102, Everett, WA 98208 2014-07-21
1972937357 Ronald Tracy Dentist 10315 19th Avenue Se Suite 110, Everett, WA 98208 2013-08-21
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497264311 Ginny George Nurse Practitioner 125 130th St Se, Everett, WA 98208 2017-09-22
1386199586 Kristina Lee Campbell Nurse Practitioner 1717 13th St, Suite 401, Everett, WA 98201-1621 2016-08-18
1366836728 Jennifer Lee First Nurse Practitioner 1321 Colby Ave, Everett, WA 98201-1665 2015-03-24
1346571841 Providence Health & Services-wa Nurse Practitioner 1330 Rockefeller, Suite 200, Everett, WA 98201-1677 2010-01-22
1770727307 Jillian K Hamel Nurse Practitioner 12728 19th Ave Se, Ste 200, Everett, WA 98208-6526 2009-04-27
1093969172 Mark Richard Oherrick Nurse Practitioner 10455 Lincoln Hwy, Everett, PA 15537-7046 2008-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447875752 Vincent Gutierrez Nurse Practitioner 4120 N 19th St, Tacoma, WA 98406-4718 2020-06-11
1003463951 Corene Kimberly Irvin Nurse Practitioner 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 2019-08-23
1427527233 Nikki Lillian Nino Nurse Practitioner 9819 Harborview Pl, Gig Harbor, WA 98332-1018 2018-11-21
1386134203 Heather J Mckinney Nurse Practitioner 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 2018-05-16
1427551159 Amanda Catherine Maclurg Nurse Practitioner 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 2018-03-08
1568850154 Cara Cook Nurse Practitioner 1504 Nw 57th St, Seattle, WA 98107-3017 2015-01-05
1770913022 Amanda Ray Nurse Practitioner 118 Nw 188th St, Shoreline, WA 98177-3033 2013-11-24
1487999140 Jessica Morgan White Nurse Practitioner 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 2012-12-06
1851625701 Cathy Phan Nurse Practitioner 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 2009-09-24
1902054687 Lk Healthcare Systems, L.L.C. Nurse Practitioner 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 2008-09-05
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Competitor

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City EVERETT
Zip Code 98208

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Dataset Information

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.

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