Active NPI
Lloyd Emsley Shattuck, CDP
- Addiction (Substance Use Disorder) Counselor
- Bellevue, WA
National Provider Identifier
1225699226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60433542
- Practice address
- 13037 NE Bel Red Rd Ste 102a
Bellevue, WA 98005-2651 - Phone
- (425) 502-9945
- Fax
- (425) 698-1541
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60433542 | WA | Primary |
Addresses
Primary practice location
13037 NE Bel Red Rd Ste 102a
Bellevue, WA 98005-2651
Mailing address
13037 NE Bel Red Rd Ste 102a
Bellevue, WA 98005-2651
Phone (425) 502-9945
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lshattuck@northpointrecovery.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60433542 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northpoint Washington LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Edmonds, WA
- NPI 1891292900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1225699226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13037 NE BEL RED RD STE 102A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052651",
"telephone_number": "425-502-9945",
"fax_number": "425-698-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13037 NE BEL RED RD STE 102A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052651",
"telephone_number": "425-502-9945",
"fax_number": "425-698-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHATTUCK",
"first_name": "LLOYD",
"middle_name": "EMSLEY",
"credential": "CDP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60433542",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lshattuck@northpointrecovery.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13037 NE Bel Red Rd Ste 102A",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980052651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.