Shannon Duffy, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60758522 Issued in WA

Practice address

200 S 2ND St
Renton, WA 98057-2011

Phone

(425) 226-5536

NPI assigned

Aug 28, 2017

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Washington School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sduffy20112@healthpoint.direct-ci.com
• Direct secure messaging: shannon.duffy.p3@direct.hpc.nextgenshare.com

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.

• Tulalip Tribes of Washington

  dba Tulalip Tribes Health Clinic

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment Care Compare group NPD
• Healthpoint

  dba HealthPoint Kent Medical

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454
  Medicare reassignment NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seatac, WA
  • NPI 1578596748
  NPD
• Healthpoint

  dba HealthPoint White Center Medical

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Tulalip Tribes of Washington

  dba Tulalip Crisis Response

  • Mental Health Counselor
  • Tulalip, WA
  • NPI 1194558478
  NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribe Eye Clinic

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD
• Healthpoint

  dba HealthPoint Redmond Medical

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1215454574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572011",
            "telephone_number": "425-226-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60475453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60758522",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60758522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sduffy20112@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 S 2nd St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Michelle G. Chang DMD PLLC
• Vera P Dragonchuk, M.A.
• Kirby A Drawbaugh, RPH
• Michelle Drones, ARNP
• Jessica Mt Dubose, MSW, LICSW
• Wendy Nadia Duffy, RPH
• Samantha Louise Dull, M.S
• Jenny Duong-Bui, DPT
• Minh Duong
• Vivian Hoang Duong

• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.