Showland Medical LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

SHOWLAND MEDICAL LLC

Practice address

2211 NE 139TH St
Vancouver, WA 98686-2742

Phone

(360) 514-2000

Fax

(360) 835-0478

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Keirnan, RN, RNFA,CNOR

Title

Rnfa

Phone

(360) 518-5854

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Showland Medical LLC Doing business as

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1366690158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NE 139TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862742",
            "telephone_number": "360-487-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NE 139TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862742",
            "telephone_number": "360-514-2000",
            "fax_number": "360-835-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOWLAND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "KEIRNAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "360-518-5854",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, RNFA,CNOR"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00096524",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982631149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Showland Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mehrdad Shojaei, MD
• Corrie Short
• Janet H Shotwell, MD
• Philip B Shotwell, RC
• Aaron Timothy Shou
• Hannah Shrigley, DPT
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Corrie Renae Shrock, RN
• Jeffrey David Shrock, O.D.

• Registered Nurse First Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.