Individual provider Active NPI

Shannon Pinkston, FNP-C

  • Family Nurse Practitioner
  • Longview, WA
National Provider Identifier
1447684998
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60771597 Issued in WA
Practice address
1057 12TH Ave
Longview, WA 98632-2509
Phone
(360) 636-3892
NPI assigned
Sep 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60771597 WA Primary

Addresses

Primary practice location

1057 12TH Ave
Longview, WA 98632-2509

Mailing address

5020 Oakmont PL SE
Lacey, WA 98513-5049
Phone (253) 507-2057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002579 WA Practitioner - Nurse Practitioner 1951538511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince Nov 1, 2022 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

400 Yauger Way SW
Ste D
Olympia, WA 98502
Phone (360) 200-8245

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1447684998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 OAKMONT PL SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135049",
            "telephone_number": "253-507-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-636-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60771597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.