Individual provider Active NPI

Shelley Tantau, ACNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vashon, WA
National Provider Identifier
1457719304
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60961397 Issued in WA
Practice address
9426 SW 268TH St
Vashon, WA 98070-8416
Phone
(707) 758-7700
NPI assigned
Feb 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60961397 WA Primary
Acute Care Nurse Practitioner 363LA2100X 95003458 CA
Acute Care Nurse Practitioner 363LA2100X AP60961397 WA

Addresses

Primary practice location

9426 SW 268TH St
Vashon, WA 98070-8416

Mailing address

9426 SW 268TH St
Vashon, WA 98070-8416
Phone (707) 758-7700

Other practice location 1

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

Other practice location 2

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

Other practice location 3

950 Broadway Ste 404
Tacoma, WA 98402-4454
Phone (206) 774-8557

Other identifiers 2

IdentifierTypeStateIssuer
2206062MedicaidWA
452330OtherWALABOR & INDUSTRIES

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address stantau738975@fhsce.catholichealth.net Direct Franciscan Medical Group
Direct Messaging Address stantau738975@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160419002220 CA Practitioner - Nurse Practitioner 7618275934 Reassigns benefits to 1 organization
I20220505002286 WA Practitioner - Nurse Practitioner 7618275934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

950 Broadway
Suite 404
Tacoma, WA 98402-4454
Phone (425) 640-7009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60961397WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Medical Group, Inc CurrentSince May 16, 2016 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Apr 4, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Apr 4, 2022 Accepting new patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince May 16, 2016 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 16, 2025 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 405-5504

950 Broadway
Ste 404
Tacoma, WA 98402
Phone (206) 774-8557

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1457719304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 SW 268TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708416",
            "telephone_number": "707-758-7700",
            "fax_number": "360-680-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 SW 268TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980708416",
            "telephone_number": "707-758-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Battersby Ave",
            "address_purpose": "LOCATION",
            "city": "Enumclaw",
            "state": "WA",
            "postal_code": "980223634",
            "country_code": "US",
            "telephone_number": "253-426-6341",
            "fax_number": "253-426-6344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 S J St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054933",
            "country_code": "US",
            "telephone_number": "253-426-6341",
            "fax_number": "253-426-6344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Broadway Ste 404",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024454",
            "country_code": "US",
            "telephone_number": "206-774-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANTAU",
        "first_name": "SHELLEY",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60961397",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95003458",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60961397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206062",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "452330",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stantau738975@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 S J St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stantau738975@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1455 Battersby Ave",
            "city": "Enumclaw",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980223634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

Verify at the official NPI Registry.