Shawna K Bouffard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60337665 Issued in WA

Practice address

19828 88TH Ave NE
Bothell, WA 98011-2122

Phone

(425) 246-9443

NPI assigned

Jun 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1598495111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19828 88TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112122",
            "telephone_number": "425-246-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19828 88TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112122",
            "telephone_number": "425-246-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUFFARD",
        "first_name": "SHAWNA",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60337665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bothell Naturopathic Medical Clinic
• Bothell Pediatric & Hand Therapy
• Bothell Pediatric and Hand Therapy
• Bothell Pediatric and Hand Therapy
• Bothell Regenerative Medicine
• Audrey Bourne
• Christine Maree Bowen, N.D.
• Eileen M Bowen, MA
• Sheryl Lynn Bowers
• Kathleen Palisoc Boyd, BCBA, LBA

• Registered Nurse in Bothell, WA
• Providers in Bothell, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.