Individual provider Active NPI

Shiane Yong Filmer, ARNP

  • Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1558136994
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61510807 Issued in WA
Practice address
3226 Rosedale St Ste 100
Gig Harbor, WA 98335-1806
Phone
(253) 514-6766
NPI assigned
Nov 15, 2023
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61510807 WA Primary

Addresses

Primary practice location

3226 Rosedale St Ste 100
Gig Harbor, WA 98335-1806

Mailing address

4604 71St Street CT NW
Gig Harbor, WA 98335-8369
Phone (253) 509-2919

Other names 1

  • Shiane Yong Redlin Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP61510807WAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1558136994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 71ST STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358369",
            "telephone_number": "253-509-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 ROSEDALE ST STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351806",
            "telephone_number": "253-514-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILMER",
        "first_name": "SHIANE",
        "middle_name": "YONG",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61510807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIANE",
            "last_name": "REDLIN",
            "middle_name": "YONG",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.