Individual provider Active NPI

Kelly Kalama Chie Shontell

  • Pediatrics Physician
  • Snohomish, WA
National Provider Identifier
1629538186
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61277629 Issued in WA
Practice address
401 2ND St
Snohomish, WA 98290-3008
Phone
(360) 563-8620
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61277629 WA Primary

Addresses

Primary practice location

401 2ND St
Snohomish, WA 98290-3008

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220715001517 WA Practitioner - Pediatric Medicine 0345573804 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Pediatrics Current Accepting new patients
The Polyclinic PLLC Pediatrics CurrentSince Feb 12, 2024 Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Feb 12, 2024 Accepting new patients
The Association of University Physicians CurrentSince Aug 31, 2022 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 12, 2024 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Jun 5, 2022 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Jun 5, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
#7830
Seattle, WA 98105
Phone (206) 987-2525

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

401 2nd St
Snohomish, WA 98290
Phone (360) 563-8600

Interoperability endpoints

  • Direct secure messaging: kshontell83038@direct.tecmc.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629538186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 2ND ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982903008",
            "telephone_number": "360-563-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONTELL",
        "first_name": "KELLY",
        "middle_name": "KALAMA CHIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61277629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.