Shannon Reitan

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CO 60629779 Issued in WA

Legal business name

SHANNON REITAN

Practice address

520 Spring St
Friday Harbor, WA 98250-8057

Phone

(817) 637-4425

NPI assigned

May 7, 2016

Organization subpart

No

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

Authorized official

Name

Shannon Reitan

Title

Self

Phone

(817) 637-4425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1356797484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "817-637-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON REITAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "REITAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "817-637-4425"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "CO 60629779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peja Phyllis Schussler, PT
• Elizabeth Schwalbe, LMP
• Leslie Diane Schwartz, M.A.
• Lynda Schwen
• Seabreeze Counseling, PLLC
• Connor Shannon, DC
• Bernadette Sharples
• Michelle Marie Shober, PSY.D.
• Vincent W. Shu, MD
• Heather Lyn Small, LMP

• Health Maintenance Organization in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.