Shawn Anthony Mire

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

909 W Main St Ste 102
Monroe, WA 98272-2031

Phone

(360) 453-7715

NPI assigned

Feb 6, 2023

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 names 1

• Shawn Anthony Orndorff Former name

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 and National Provider Directory roles.

• Conquer Addiction PLLC

  dba Conquer

  • Multi-Specialty Clinic/Center
  • Monroe, WA
  • NPI 1255001624
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1306542840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 QUINNS MEADOW RD LOT B",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991145145",
            "telephone_number": "206-590-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST STE 102",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722031",
            "telephone_number": "360-453-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "ORNDORFF",
            "middle_name": "ANTHONY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Miller, ARNP
• Nicholas Allen Miller, DDS
• Sabrena Miller
• Kyung Eun Min, MD
• Mindful Sasquatch PLLC
• Monroe Acupuncture, Inc
• Monroe Anesthesia Physicians, PLLC
• Monroe Chiropractic and Alternative Medicine Center PS
• Monroe Chiropractic and Massage
• Monroe Family Dentistry, PLLC (Monroe Family Dentistry)

• Peer Specialist in Monroe, WA
• Providers in Monroe, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.