Individual provider Active NPI

Shawn Philip Utigard, HIS

  • Hearing Instrument Specialist
  • Seattle, WA
National Provider Identifier
1073938411
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00000409 Issued in WA
Practice address
9776 Holman Rd NW
Ste. 101
Seattle, WA 98117-2000
Phone
(206) 782-6770
Fax
(206) 957-6003
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA00000409 WA Primary

Addresses

Primary practice location

9776 Holman Rd NW
Ste. 101
Seattle, WA 98117-2000

Mailing address

9776 Holman Rd NW
Ste. 101
Seattle, WA 98117-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA00000409WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1073938411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 HOLMAN RD NW",
            "address_2": "STE. 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 HOLMAN RD NW",
            "address_2": "STE. 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172000",
            "telephone_number": "206-782-6770",
            "fax_number": "206-957-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTIGARD",
        "first_name": "SHAWN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.