Individual provider Active NPI

Paula Ann Shifley, RN, BSN, NCSN

  • Registered Nurse
  • Seattle, WA
National Provider Identifier
1104165877
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00059235 Issued in WA
Practice address
2445 3Rd Ave S
Seattle, WA 98124-1165
Phone
(206) 252-0750
Fax
(206) 252-0751
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00059235 WA Primary

Addresses

Primary practice location

2445 3Rd Ave S
Seattle, WA 98124-1165

Mailing address

2445 3Rd Ave S
Seattle, WA 98124-1165
Phone (206) 252-0750

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00059235WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Public Schools Registered Nurse Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1104165877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 3RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241165",
            "telephone_number": "206-252-0750",
            "fax_number": "206-252-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 3RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241165",
            "telephone_number": "206-252-0750",
            "fax_number": "206-252-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLEY",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, NCSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00059235",
            "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 Jan 31, 2013; 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.