Shannon Kenneth Duncan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

812 Miller Ave Ste a
Sunnyside, WA 98944-2377

Phone

(509) 837-1567

Fax

(509) 837-1357

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Male

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

Practice roles

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

• Sunnyside Home Health

  • Home Health Agency
  • Sunnyside, WA
  • NPI 1669918405
  NPD (past)
• Yakima Hma Home Health, LLC

  dba Astria Home Health & Hospice

  • Community Based Hospice Care Agency
  • Yakima, WA
  • NPI 1316962186
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1184403396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MILLER AVE STE A",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442377",
            "telephone_number": "509-837-1567",
            "fax_number": "509-837-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SHANNON",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas E Wrung MD
• Dr James E Stevens
• Douglas C Duggan, O.D.
• Judith K Dukes, MD
• Daniel Richard Dunbar
• Eagle Healthcare, Inc (Eagle Rehabilitation at Sunnyside)
• Steven Curtis Elerding, M.D.
• Alexandria Engele
• Kimberly Christian Evans, LMP
• Evergreen Anesthesia Associates, LLC

• Physical Therapy Assistant in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.