SHANON TYSLAND (NPI# 1851398754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851398754 |
Entity Type | Individual |
Full Name | SHANON TYSLAND |
Credential | RPTL |
Practice Address |
4030 Alderwood Mall Blvd Lynnwood WA 98036 |
Practice Telephone | 4257760803 |
Practice Fax Number | 4257760813 |
Mailing Telephone | 4257760803 |
Mailing Fax Number | 4257760813 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2015-02-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | PT00008170 | WA | Other Service Providers |
Street Address |
4030 ALDERWOOD MALL BLVD |
City | LYNNWOOD |
State | WA |
Zip Code | 98036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194205286 | Taylor N Autry | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-08-17 |
1215417704 | Johanna Nicole Dibble | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-08-15 |
1265918486 | Megan Marcella Mcarthur | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-07-11 |
1952818502 | Crystal Love Franck | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2018-01-04 |
1285149120 | Kayla Lee Acott | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-12-13 |
1720591571 | Alicia Dan Yang | Dietitian, Registered | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-11-14 |
1295252344 | Stephanie Magnin | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2017-08-29 |
1134661960 | Jillian Lindsey | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 | 2016-11-10 |
1336523083 | Christina Renee' Stephens | Massage Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 | 2015-07-13 |
1679984223 | Laura Mickelson | Physical Therapist | 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 | 2014-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
Find all providers in zip 98036 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528401593 | Sisay S Jorga | Specialist | 16418 7th Pl W Ste B, Lynnwood, WA 98037-8100 | 2013-04-09 |
1356684195 | Tonya Nichole Despain | Specialist | 16303 Highway 99 Ste 2b, Lynnwood, WA 98087-1453 | 2013-03-30 |
1700139516 | Ashley Marie Nicklin | Specialist | 19505 44th Ave W, Suite A, Lynnwood, WA 98036-5658 | 2012-10-17 |
1740555176 | Alexandrea Dawn Yarbrough | Specialist | 19720 68th Ave W Ste B, Lynnwood, WA 98036-4568 | 2012-03-19 |
1144518978 | Krysta Lee Shove | Specialist | 16303 Hwy 99, Suite 2b, Lynnwood, WA 98087-1453 | 2011-07-13 |
1083917082 | Aci Health & Wellness Center | Specialist | 18205 Alderwood Mall Pkwy, Unit K, Lynnwood, WA 98037-3913 | 2010-12-13 |
1528394061 | Sarah R Pike | Specialist | 5710 200th St Sw Apt 105, Lynnwood, WA 98036-6254 | 2009-10-18 |
1386883395 | Northwest Return 2 Work, LLC | Specialist | 19231 36th Ave W, Suite K, Lynnwood, WA 98036-5763 | 2009-02-13 |
1497902738 | Kimberly Laine Roehl | Specialist | 16626 6th Ave W, G304, Lynnwood, WA 98037-8834 | 2008-08-19 |
1235300393 | Ashley Nicole Hilger Brothers | Specialist | 7127 196th St Sw Ste 101, Lynnwood, WA 98036-5078 | 2008-03-17 |
Find all providers in LYNNWOOD |
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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.