Shannon Glade

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

415 W 11TH St
Vancouver, WA 98660-3147

Phone

(360) 699-2244

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Glade Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1225449903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W 11TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603147",
            "telephone_number": "360-699-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 11TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603147",
            "telephone_number": "360-699-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "GLADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beatrice Githinji
• Aubree Jane Giudici, LMT
• Lainey Givens
• Sara Giza
• Christina A Gjesvold, LICSW
• Savannah Glahn, RN
• Glamour Adult Family Home
• Michael J Glanzer, OD
• Evening Rose Glaser, PA-C
• Graham D Glass, MD

• Marriage & Family Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.