Active NPI
Shawn Overby
- Technician/Technologist
- Shoreline, WA
National Provider Identifier
1568059384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 105 N 182ND St
Shoreline, WA 98133-4308 - Phone
- (206) 799-1301
- NPI assigned
- Dec 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
105 N 182ND St
Shoreline, WA 98133-4308
Mailing address
9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Phone (425) 347-5121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shawno@ths-wa.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1568059384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 EVERGREEN WAY STE Z150",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043889",
"telephone_number": "425-347-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N 182ND ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334308",
"telephone_number": "206-799-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBY",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shawno@ths-wa.org",
"affiliation": "N",
"address_1": "105 N 182nd St",
"city": "Shoreline",
"state": "WA",
"country_code": "US",
"postal_code": "981334308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.