Organization Active NPI

Empowered Health Corp

  • Primary Care Clinic/Center
  • Tacoma, WA
National Provider Identifier
1043834948
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMPOWERED HEALTH CORP
Practice address
7808 Pacific Ave Ste 3
Tacoma, WA 98408-7039
Phone
(253) 503-6178
Fax
(253) 240-0587
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Shannon Zawilski, ARNP
Title
President/Provider
Phone
(253) 365-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7808 Pacific Ave Ste 3
Tacoma, WA 98408-7039

Mailing address

1908 N Huson St
Tacoma, WA 98406-3457
Phone (253) 365-0004

Other names 1

  • Shannon Keenan Zawilski ARNP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706002220 WA Part B Supplier - Clinic/Group Practice 8628491974 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

1310 S Union Ave
Ste A302
Tacoma, WA 98405
Phone (253) 214-0352

1310 S Union Ave
Ste 302
Tacoma, WA 98405

3019 6th Ave
Tacoma, WA 98406

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1043834948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N HUSON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984063457",
            "telephone_number": "253-365-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 PACIFIC AVE STE 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087039",
            "telephone_number": "253-503-6178",
            "fax_number": "253-240-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "ZAWILSKI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "253-365-0004",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Keenan Zawilski ARNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.