Individual provider Active NPI

Dina Marie Shaughnessy, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1114495157
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60914158 Issued in WA
Practice address
312 W 8TH Ave
Spokane, WA 99204-2506
Phone
(509) 324-1568
Fax
(509) 327-0163
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60914158 WA Primary
Gerontology Nurse Practitioner 363LG0600X AP60914158 WA
Adult Health Nurse Practitioner 363LA2200X AP60914158 WA
Nurse Practitioner 363L00000X AP60914158 WA

Addresses

Primary practice location

312 W 8TH Ave
Spokane, WA 99204-2506

Mailing address

17703 E 6TH Ave
Spokane Valley, WA 99016-9758
Phone (208) 964-4019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000593 WA Practitioner - Nurse Practitioner 4082955489 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60914158WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Behavioral Health LLC CurrentSince Nov 13, 2023 Accepting new patients
Spokane Regional Health District CurrentSince Jan 1, 2020 Accepting new patients
Compassionate Addiction Treatment CurrentSince Nov 2, 2019 Accepting new patients

Locations

1101 W College Ave
Spokane, WA 99201
Phone (509) 324-1420

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

215 W 2nd Ave
Spokane, WA 99201

215 W 2nd Ave
Lowr
Spokane, WA 99201
Phone (509) 919-3362

312 W 8th Ave
Spokane, WA 99204
Phone (509) 324-1420

Organizations & group practices 3

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1114495157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17703 E 6TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169758",
            "telephone_number": "208-964-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042506",
            "telephone_number": "509-324-1568",
            "fax_number": "509-327-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60914158",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60914158",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60914158",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60914158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.