Shannon Dawkins, SUBMARINE IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2150 Thresher Ave
Silverdale, WA 98315-2103

Phone

(360) 396-6530

NPI assigned

Sep 18, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669022810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 THRESHER AVE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 THRESHER AVE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152103",
            "telephone_number": "360-396-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "SHANNON",
        "credential": "SUBMARINE IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shannon.M.Dawkins.mil@mail.mil",
            "affiliation": "Y",
            "address_1": "1 Crystal Lake Rd",
            "city": "Groton",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063492300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Independent Duty Corpsman in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.