SHANNON L LOCKWOOD (NPI# 1629353529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629353529 |
| Entity Type | Individual |
| Full Name | SHANNON L LOCKWOOD |
| Credential | CRNA |
| Practice Address |
209 M. L. K. Jr Way Tacoma WA 98405 |
| Practice Telephone | 2535966300 |
| Mailing Telephone | 2535966300 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN00158055 | WA | Nursing Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN 9284260 | FL | Nursing Service Providers |
| Street Address |
209 M. L. K. JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944108 | Nathaniel Ott | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4933 | 2020-02-18 |
| 1770128548 | Katerina Volosevych | Registered Nurse | 12180 Park Ave S, Tacoma, WA 98447-0001 | 2019-11-15 |
| 1205471067 | Azusa Matsubayashi | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2019-11-14 |
| 1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
| 1942768650 | Sonya E Vargo | Registered Nurse | 9040 Jackson Ave, Tacoma, WA 98433 | 2019-03-12 |
| 1487175832 | Kristen Calo | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2017-07-06 |
| 1114371929 | Andrew Blair | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-04-18 |
| 1629451331 | Terri C Andrews | Registered Nurse | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2015-06-30 |
| 1518237775 | Brian Paul Alexander | Registered Nurse | 9040 Jackson Ave, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2012-01-05 |
| 1407914450 | Suzette Marie Gagnon-bailey | Registered Nurse | 915 6th Ave Ste 200, Tacoma, WA 98405-4682 | 2006-12-04 |
| Find all providers in TACOMA | ||||
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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.