SHANNON MARIE PEERBOOM (NPI# 1356957294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356957294 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE PEERBOOM |
| Other Name | SHANNON MARIE DURHAM |
| Credential | ARNP |
| Practice Address |
3908 10th St Se Puyallup WA 98374-2188 |
| Practice Telephone | 2538457073 |
| Mailing Telephone | 2538457073 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP61092015 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3908 10TH ST SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366670 | Donald Edward Prater | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2005-12-14 |
| 1578176285 | Gillian Mcravin-johnson | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2020-08-24 |
| 1235740499 | Mandeep Parmar Schaff | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2020-08-12 |
| 1699326553 | Jessica Hoover | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-09-23 |
| 1639727977 | Joslyn A Tapec | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-08-29 |
| 1790331163 | Francis E Prince | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-08-12 |
| 1306309034 | April Gail Lyman Telan | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374 | 2019-04-10 |
| 1669914354 | Amandeep Kaur Mann | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2016-11-10 |
| 1346623196 | Megan Clarno | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2015-06-29 |
| 1952706103 | Bradley Smith | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2014-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442419 | Melinda Moore | Nurse Practitioner | 6332 Summerwood Dr E, Puyallup, WA 98373-5005 | 2020-03-17 |
| 1760014310 | Gabrielle C. Luzon | Nurse Practitioner | 15429 81st Ave E, Puyallup, WA 98375-8493 | 2020-02-11 |
| 1275971053 | Maritza Julia | Nurse Practitioner | 2913 5th Ave Ne, Suite 101, Puyallup, WA 98372-6748 | 2013-06-13 |
| 1598786170 | Luann E Schafer | Nurse Practitioner | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2006-07-21 |
| 1578176285 | Gillian Mcravin-johnson | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2020-08-24 |
| 1235740499 | Mandeep Parmar Schaff | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2020-08-12 |
| 1699326553 | Jessica Hoover | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-09-23 |
| 1639727977 | Joslyn A Tapec | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-08-29 |
| 1790331163 | Francis E Prince | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2019-08-12 |
| 1003460064 | Oscar Herrera | Nurse Practitioner | 220 15th Ave Se, Puyallup, WA 98372-3797 | 2019-07-29 |
| Find all providers in PUYALLUP | ||||
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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.