MISS SHANNON ELISABETH PERCIVAL (NPI# 1104109370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104109370 |
| Entity Type | Individual |
| Full Name | MISS SHANNON ELISABETH PERCIVAL |
| Credential | PA-C |
| Practice Address |
202 N Division St Auburn WA 98001-4939 |
| Mailing Address |
4950 Corson Ave S Seattle WA 98108-1835 |
| Practice Telephone | 2533332564 |
| Mailing Telephone | 2067999647 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60246035 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
202 N DIVISION ST |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335840 | Mark Flanery | Anesthesiology | 202 N Division St, Auburn, WA 98001-4939 | 2005-06-10 |
| 1053925834 | Marcellis Dodson-smith | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-08-31 |
| 1548885916 | Christopher Charles Linderman | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-06-11 |
| 1891315909 | Gage S Crowe | Nurse's Aide | 202 N Division St, Auburn, WA 98001-4939 | 2020-04-18 |
| 1154882736 | Sherry Wilson | Nurse Practitioner | 202 N Division St, Auburn, WA 98001-4939 | 2019-03-27 |
| 1447721857 | Todd Evan Im | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2018-12-10 |
| 1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009724 | Brenna Rasmussen | Physician Assistant | 88 Elmwood Rd, Auburn, ME 04210-6510 | 2020-06-25 |
| 1891235800 | Dekalb Health Memorial Hosptial Inc | Physician Assistant | 916 W. Seventh St., Auburn, IN 46706-2013 | 2017-02-24 |
| 1043671605 | Stefanie Morgan Wozmak | Physician Assistant | 137 Mcevoy Dr, Auburn, NH 03032-3930 | 2016-03-10 |
| 1063838258 | Robert Bogdasarian | Physician Assistant | 460 Southbridge St, Auburn, MA 01501-2442 | 2014-03-12 |
| 1801938394 | Kelli Knox Riddle | Physician Assistant | 1543 Professional Pkwy, Auburn, AL 36830-2858 | 2007-02-13 |
| 1801995618 | Thomas E Burkert | Physician Assistant | 77 Nelson Street, Suite 320, Amms, PC, Auburn, NY 13021 | 2006-09-21 |
| 1285746057 | Patrick Raymond Decommer | Physician Assistant | 3227 Professional Dr, Suite A, Auburn, CA 95602-2414 | 2006-08-31 |
| 1316987092 | Kara Lynn Perez | Physician Assistant | 310 6th St Ne, Auburn, WA 98002-4342 | 2006-06-08 |
| 1518912187 | Delinah M Anderson | Physician Assistant | 120 E Midland Rd, Auburn, MI 48611-9780 | 2006-05-23 |
| 1255391793 | Mark Henry Leinwand | Physician Assistant | 13 North Fulton Street, Auburn, NY 13021 | 2006-03-27 |
| Find all providers in AUBURN | ||||
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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.