Shannon Foster Vitone

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OP61105800 Issued in WA

Practice address

19245 7TH Ave NE
Poulsbo, WA 98370-6551

Phone

(360) 782-3501

Fax

(360) 782-3540

NPI assigned

May 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Foster Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: shannon.vitone@tdc.directbygreenway.com

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1184150443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 RIDGETOP BLVD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838502",
            "telephone_number": "360-782-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19245 7TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706551",
            "telephone_number": "360-782-3501",
            "fax_number": "360-782-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITONE",
        "first_name": "SHANNON",
        "middle_name": "FOSTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP61105800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FOSTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth Urand
• James A Van, PA-C
• Rebekah E Verdugo, LICSW, LCSW, SUDP
• Vintage Direct Primary Care
• Virginia E Swanson MD PLLC
• Matthew A Voorsanger, MD
• Wagner Family Wellness Center LLC
• Blake Joseph Wagner, D.C.
• Wal-Mart Stores, Inc
• Robert Livingston Walker, LMHC

• Pediatrics Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.