Active NPI
Devin Michael Shoquist, M.D.
- Psychiatry Physician
- Gig Harbor, WA
National Provider Identifier
1457315384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD000046808
- Practice address
- 4423 Point Fosdick Dr NW
Suite 312
Gig Harbor, WA 98335-1797 - Phone
- (253) 514-5534
- Fax
- (253) 858-8115
- NPI assigned
- Apr 17, 2006
- Last updated
- Nov 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD000046808 | WA | Primary |
Addresses
Primary practice location
4423 Point Fosdick Dr NW
Suite 312
Gig Harbor, WA 98335-1797
Mailing address
4423 Point Fosdick Dr NW
Suite 312
Gig Harbor, WA 98335-1797
Phone (253) 514-5534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 16, 2016 through Nov 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD000046808 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Mental Health Center of Tacoma-Pierce County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comprehensive Life Resources
- Community/Behavioral Health Agency
- Tacoma, WA
- NPI 1952597056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1457315384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4423 POINT FOSDICK DR NW",
"address_2": "SUITE 312",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351797",
"telephone_number": "253-514-5534",
"fax_number": "253-858-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 POINT FOSDICK DR NW",
"address_2": "SUITE 312",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351797",
"telephone_number": "253-514-5534",
"fax_number": "253-858-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOQUIST",
"first_name": "DEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD000046808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.