ERIN D. SHADE (NPI# 1003836529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003836529 |
| Entity Type | Individual |
| Full Name | ERIN D. SHADE |
| Credential | PA-C |
| Practice Address |
1101 Madison St. Suite 1500 Seattle WA 98104 |
| Practice Telephone | 2069651700 |
| Practice Fax Number | 2069651736 |
| Mailing Telephone | 2069651700 |
| Mailing Fax Number | 2069651736 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DI00001488 | WA | Dietary & Nutritional Service Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60072835 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHIELD | 54991U | 01 |
| Street Address |
1101 MADISON ST. SUITE 1500 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386934925 | Darcy Eileen Broughton | Obstetrics & Gynecology | 1101 Madison St., Suite 1050, Seattle, WA 98104 | 2011-04-17 |
| 1740475383 | Joshua Zephyr Press | Obstetrics & Gynecology | 1101 Madison St., Suite 1500, Seattle, WA 98104 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184072498 | Emily Lizalek | Physician Assistant | 531 Broadway E Ste 10, Seattle, WA 98102-5023 | 2016-05-26 |
| 1477900876 | Sepideh Makouei | Physician Assistant | 1229 Madison St Ste 1190, Seattle, WA 98104-1357 | 2016-05-16 |
| 1376944645 | Christopher Ryan Varady | Physician Assistant | 6839 35th Ave Ne, Seattle, WA 98115-7333 | 2014-09-05 |
| 1093068652 | Northwest First Assists | Physician Assistant | 8560 Greenwood Ave N, 900, Seattle, WA 98103-3614 | 2012-10-19 |
| 1043581101 | Katherine Sjostrom Bennett | Physician Assistant | 5316 Rainer Ave S, Seattle, WA 98118 | 2012-01-21 |
| 1669759049 | Gregory Pintor | Physician Assistant | 2219 2nd Ave, #308, Seattle, WA 98121-2009 | 2011-11-13 |
| 1487885133 | Patrick G Alonso | Physician Assistant | 4311 11th Avenue Ne, Suite 200, Medex Northwest, Seattle, WA 98105 | 2009-07-29 |
| 1114167830 | Gayle Lynn Funk | Physician Assistant | 325 Eastlake Ave E, Seattle, WA 98109 | 2009-02-21 |
| 1316102718 | Claire Elizabeth Stevens | Physician Assistant | 325 - 9th Ave., Seattle, WA 98104-3595 | 2008-07-24 |
| 1548431240 | Jeanne A Rosner | Physician Assistant | 8521 15th Ave Ne, Seattle, WA 98115-3101 | 2008-03-20 |
| Find all providers in SEATTLE | ||||
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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.