Courtney Shockley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60578513 Issued in WA

Practice address

1111 N 35TH Ave Ste 120
Yakima, WA 98902-1622

Phone

(509) 969-6214

Fax

(509) 420-9357

NPI assigned

Jun 9, 2011

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cshockley606235@direct.ochin.org

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.

• Community Health of Central Washington

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1598764920
  Medicare reassignment NPD
• Community Health of Central Washington

  dba Highland Clinic

  • Federally Qualified Health Center (FQHC)
  • Tieton, WA
  • NPI 1700255874
  NPD
• Community Health of Central Washington

  dba Central Washington Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1700097706
  NPD (past)

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1558656314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 35TH AVE STE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-969-6214",
            "fax_number": "509-420-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 35TH AVE STE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-969-6214",
            "fax_number": "509-420-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "COURTNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60578513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047300",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Shipley, CPC
• Jonathan C Shirey, DDS
• Abdulla Shirzad, PA
• Norman Paul Shively, M.D.
• Kristin Shnowske, D.O.
• Emily E Shoemaker
• Stephanie A Shoemaker, RN, FNP-C
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 081)
• Shopko Stores Operating Co. LLC (ShopKo Optical 081)
• Hailey Shuel

• Pediatrics Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.