Individual provider Active NPI

Shanna Lee Bellamy, ARNP-CNP

  • Family Nurse Practitioner
  • Moses Lake, WA
National Provider Identifier
1508215997
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130857 Issued in TX
Practice address
605 S Coolidge St
Moses Lake, WA 98837-1873
Phone
(509) 765-0674
NPI assigned
Jun 7, 2016
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130857 TX Primary
Family Nurse Practitioner 363LF0000X 12289 CT
Nurse Practitioner 363L00000X 10045989 OR

Addresses

Primary practice location

605 S Coolidge St
Moses Lake, WA 98837-1873

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Phone (713) 338-5502

Other practice location 1

49 Day St
Norwalk, CT 06854-4901
Phone (860) 347-6971

Other practice location 2

915 Gessner Rd Ste 100
Houston, TX 77024-2537
Phone (713) 242-2222

Other practice location 3

401 SW Belair Dr
Clatskanie, OR 97016-7415
Phone (503) 728-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 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
I20161129002784 TX Practitioner - Nurse Practitioner 9931489499 Reassigns benefits to 3 organizations
I20250702004529 OR Practitioner - Nurse Practitioner 9931489499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians
Moses Lake Community Health CenterGroup PAC ID 1254235138, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

2900 Richmond Ave
Houston, TX 77098-3106
Phone (713) 512-6060

605 S Coolidge St
Moses Lake, WA 98837-1893
Phone (509) 765-0674

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10045989ORMDNurse Practitioner
12289CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince May 5, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince May 5, 2025 Accepting new patients
Virtually There Telemedicine, LLC Nurse Practitioner Current Accepting new patients
Best Urgent Care, PLLC CurrentSince May 1, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Oct 13, 2016 Accepting new patients
Moses Lake Community Health Center Past Accepting new patients

Locations

589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864

2205 Avenue K
Bay City, TX 77414
Phone (979) 323-9752

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

2900 Richmond Ave
Houston, TX 77098
Phone (713) 512-6056

909 Frostwood Dr
Houston, TX 77024
Phone (713) 338-5519

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

930 Frostwood Dr
Ste 2200
Houston, TX 77024

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

10333 Kuykendahl Rd
Ste D
The Woodlands, TX 77382
Phone (281) 362-7700

12717 Interstate 45 N
Ste 300
Willis, TX 77318
Phone (936) 228-7598

Interoperability endpoints

  • Direct secure messaging: sbellamy365734@memorialhermann.direct-ci.com

Organizations & group practices 8

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1508215997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450",
            "telephone_number": "713-338-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371873",
            "telephone_number": "509-765-0674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Day St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068544901",
            "country_code": "US",
            "telephone_number": "860-347-6971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Gessner Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242537",
            "country_code": "US",
            "telephone_number": "713-242-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 SW Belair Dr",
            "address_purpose": "LOCATION",
            "city": "Clatskanie",
            "state": "OR",
            "postal_code": "970167415",
            "country_code": "US",
            "telephone_number": "503-728-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "SHANNA",
        "middle_name": "LEE",
        "credential": "ARNP-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130857",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12289",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10045989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.