Shielisse Te, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60769380 Issued in WA

Practice address

12434 NE 157TH St
Woodinville, WA 98072-7915

Phone

(662) 402-3446

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1003687286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 NE 128TH ST # MS 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12434 NE 157TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727915",
            "telephone_number": "662-402-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE",
        "first_name": "SHIELISSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60769380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Talley, MA, LMHC
• Ka Weng Tam, L.AC.
• Steven Matthew Ming-Hao Tan, OD
• Simon T Tang, PHARM D
• Charyle Rae Tasanasanta, L.M.P. /MASSAGE THER
• Tessa Love LCSW, PLLC
• The Camelot Society
• The Natural Path to Healing
• The Natural Path to Healing PLLC
• Deborah Thenutai, BSN, RN, IBCLC

• Registered Nurse in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.