SHANNON M LEACH (NPI# 1285918938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285918938 |
| Entity Type | Individual |
| Full Name | SHANNON M LEACH |
| Credential | ARNP |
| Practice Address |
1700 13th St Everett WA 98201-1689 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4254045345 |
| Practice Fax Number | 4254045330 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60247426 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WSL | AP60247426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942772074 | Shannon T Leach | Counselor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-12-31 |
| 1265858047 | Shannon Leach | Nurse Practitioner | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2014-03-17 |
| Street Address |
1700 13TH ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444687 | Bridget Springgate Bush | Anesthesiology | 1700 13th St, Everett, WA 98201-1689 | 2006-10-23 |
| 1225644479 | Daniel Carnahan | Nurse Anesthetist, Certified Registered | 1700 13th St, Everett, WA 98201-1689 | 2020-09-22 |
| 1336754159 | Annalisa Stensaa Anderson | Registered Nurse | 1700 13th St, Everett, WA 98201-1689 | 2020-09-09 |
| 1770107799 | Lisa Kaitlyn Azzara | Nurse Anesthetist, Certified Registered | 1700 13th St, Everett, WA 98201-1689 | 2020-06-05 |
| 1134755572 | Sara Kaitlin Gering | Registered Nurse | 1700 13th St, Everett, WA 98201-1689 | 2020-03-17 |
| 1427696236 | Angelica Orozco Kominsky | Student in an Organized Health Care Education/Training Program | 1700 13th St, Everett, WA 98201-1689 | 2019-12-12 |
| 1336786920 | Angela Phoenix Kokinakos | Student in an Organized Health Care Education/Training Program | 1700 13th St, Everett, WA 98201-1689 | 2019-12-03 |
| 1437626231 | Anita Rajwan | Nurse Practitioner | 1700 13th St, Everett, WA 98201-1689 | 2018-10-30 |
| 1528574928 | Jennifer Ann Ross | Social Worker | 1700 13th St, Everett, WA 98201-1689 | 2017-12-20 |
| 1972034874 | Nathan M. Peck | Emergency Medicine | 1700 13th St, Everett, WA 98201-1689 | 2017-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867649 | Toni Sheree Waller | Nurse Practitioner | 10904 29th Dr Se, Everett, WA 98208-7810 | 2019-12-03 |
| 1689148090 | Bernadette N Kimemia | Nurse Practitioner | 6210 147th Pl Se, Everett, WA 98208-9387 | 2019-01-18 |
| 1942651906 | Breanne Marcucci | Nurse Practitioner | 11314 4th Ave W Ste 108, Everett, WA 98204-6926 | 2016-06-30 |
| 1578934568 | Nicole Mills | Nurse Practitioner | 12728 19th Ave Se # 200, Everett, WA 98208-6526 | 2015-10-15 |
| 1528377991 | Sonya Beth Starr | Nurse Practitioner | 15 Sw Everett Mall Way Ste A, Everett, WA 98204 | 2010-10-01 |
| 1043538440 | Sejal Parekh Graber | Nurse Practitioner | 1330 Rockefeller Ave Ste 200, Everett, WA 98201-1677 | 2010-05-10 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1639347438 | Alan Paul Abrams | Nurse Practitioner | 2731 Wetmore Avenue, Suite 500, Everett, WA 98201-3581 | 2008-02-14 |
| 1871688689 | Carol Dillon Mccahon | Nurse Practitioner | 930 N. Broadway, Everett, WA 98201 | 2006-10-04 |
| 1114926094 | Andrew Staffier | Nurse Practitioner | 596 Broadway, Everett, MA 02149-3743 | 2005-07-21 |
| Find all providers in EVERETT | ||||
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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.