Ashley Alexis Shastid
Individual provider Active NPI Family Nurse Practitioner · Longbranch, WA
NPI 1174430599 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1174430599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP.AP.70167358-NP (WA)
- Practice address
- 6815 Whiteman Rd SW
Longbranch, WA 98351-8252 - Phone
- (360) 620-3056
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70167358-NP | WA | Yes |
Addresses
Primary practice location
6815 Whiteman Rd SW
Longbranch, WA 98351-8252
Mailing address
6815 Whiteman Rd SW
Longbranch, WA 98351-8252
Phone (360) 620-3056
Other providers in Longbranch, WA
All providers in Longbranch, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.