Active NPI
Shanti Shastina Benoit Boyce, ARNP
- Gerontology Nurse Practitioner
- Seattle, WA
National Provider Identifier
1508490756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP61040749
- Practice address
- 4409 California Ave SW Ste 100
Seattle, WA 98116-4916 - Phone
- (206) 228-7281
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP61040749 | WA | Primary |
Addresses
Primary practice location
4409 California Ave SW Ste 100
Seattle, WA 98116-4916
Mailing address
4025 N Vassault St
Tacoma, WA 98407-1140
Phone (253) 820-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1508490756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 N VASSAULT ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984071140",
"telephone_number": "253-820-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 CALIFORNIA AVE SW STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164916",
"telephone_number": "206-228-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOIT BOYCE",
"first_name": "SHANTI",
"middle_name": "SHASTINA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61040749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.