Tim Paul Shannon, N.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NT60332027 Issued in WA

Practice address

205 Clark PL SE
Tumwater, WA 98501-4062

Phone

(360) 570-0401

Fax

(360) 570-2060

NPI assigned

Nov 19, 2008

Last updated

Mar 14, 2014By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tim.shannon@7727870771204.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing With Clarity, PS

  • Chiropractor
  • Tumwater, WA
  • NPI 1588956676
  NPD (past)
• Heart of Wellness Inc

  • Clinic/Center
  • Tumwater, WA
  • NPI 1154678670
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1023263027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401",
            "fax_number": "360-570-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401",
            "fax_number": "360-570-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "TIM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "NT60332027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Seese-Bieda
• David W Seiffert, FNPC
• Kassidy Rae of Sunshine Senecal
• Setenity Home Care
• Sforest, Inc. (Brightstar Care of South Puget Sound)
• Shari L Aldrich Massage Therapy Corporation (Cascadia360 Massage & Wellness)
• Hailey Ann Shelton, MS
• Lalani Shelton, P.T.
• Rose Eleanor Shepherd, L.M.P.
• Keara Sheppard, LMHC

• General Practice Physician in Tumwater, WA
• Providers in Tumwater, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.