Susan Kay Shannon, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3629 S D St
Tacoma, WA 98418-6813

Phone

(253) 798-6576

NPI assigned

Mar 2, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1083172613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 S D ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186813",
            "telephone_number": "253-798-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 S D ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186813",
            "telephone_number": "253-798-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9236 Renton Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185322",
            "country_code": "US",
            "telephone_number": "206-722-7152 x3252",
            "fax_number": "206-722-0830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9236 Renton Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185322",
            "country_code": "US",
            "telephone_number": "206-722-7152 x3252",
            "fax_number": "206-722-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamta Shankar, BPHARM
• Gloria Shanks, B.A.
• Briana Christine Shannon
• Dean A Shannon, LMP
• John W Shannon, LMP
• Glen Shapiro, MD
• Ahmed Tawfiq Sharba
• Nasir Shariff, MD
• Rie Marie Adriana Sharky, M.D.
• Deepak Kumar Sharma, DDS

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.