David B Shanholtzer, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60538059 Issued in WA

Practice address

12800 Bothell Everett Hwy
Everett, WA 98208

Phone

(425) 316-5150

Fax

(425) 316-5153

NPI assigned

Jan 15, 2008

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mahnaz Lary MD Inc PS

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1083960751
  NPD (past)
• Cardiovascular Associates LTD

  • Cardiovascular Disease Physician
  • Chesapeake, VA
  • NPI 1114971918
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1235315706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOTHELL EVERETT HWY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-316-5150",
            "fax_number": "425-316-5153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Clearview Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093378",
            "country_code": "US",
            "telephone_number": "480-998-9108",
            "fax_number": "480-813-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Clearview Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093378",
            "country_code": "US",
            "telephone_number": "480-998-9108",
            "fax_number": "480-813-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANHOLTZER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60538059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA HEALTH",
            "identifier": "1235315706",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235315706",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/HEALTHNET",
            "identifier": "1235315706",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshanholtzer886788@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "12800 Bothell Everett Hwy",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean M Shahkarami, RPH
• Akenathan Shakur
• Mily Shakya, FNP
• Danielle Shandera
• Maria Nova Winona Shane, MA, MHP, LMHC
• Shantijoy Inc
• Robert Roland Sharer, CDP
• Aartee Sharma
• Jhanvi Sharma
• Ram Sharma, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.