Shannon D Lassen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10005375

Practice address

3927 Rucker Ave
Everett, WA 98201-4833

Phone

(425) 339-5422

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Doctors Urgent Care of Northlake PLLCGroup PAC ID 5294107249, 13 clinicians

Doctors Urgent Care - Flower Mound PLLCGroup PAC ID 0547616625, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctors Urgent Care - Flower Mound PLLC

  • Urgent Care Clinic/Center
  • Flower Mound, TX
  • NPI 1932892510
  Medicare reassignment Care Compare group
• Doctors Urgent Care of Northlake PLLC

  • Urgent Care Clinic/Center
  • Northlake, TX
  • NPI 1912612920
  Medicare reassignment Care Compare group
• Kingsley Clinic PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1770143315
  Medicare reassignment

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1598939860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 TEASLEY LN",
            "address_2": "STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762104652",
            "telephone_number": "940-382-9898",
            "fax_number": "940-383-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014833",
            "telephone_number": "425-339-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 S Meridian",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983717516",
            "country_code": "US",
            "telephone_number": "253-848-8797",
            "fax_number": "253-446-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSEN",
        "first_name": "SHANNON",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005375",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA10005375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Danielle Lasenby
• Gail Lasher
• Molly Lasker, LMHCA
• Sonya-Prajna Lasker, M.S., CCC/SLP
• Zoe Lassen-Purser, L.M.P.
• Brett C Lassinger, MD
• Sonia Laster, FNP
• Kathleen Laswell, ARNP
• Linda D. Lasz, M.S.
• Latasha Mia Latimer

• Physician Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.