Shannon Tebbetts, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

61014429 Issued in WA

Practice address

2781 S 242ND St
Des Moines, WA 98198-5166

Phone

(206) 212-4500

NPI assigned

Nov 7, 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

Other names 1

• Shannon Lindsay Weber Tebbetts Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Practice roles

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.

• Swedish Health Services

  • Surgery Physician
  • Seattle, WA
  • NPI 1053368571
  NPD (past)
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1679118285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 2ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 S 242ND ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985166",
            "telephone_number": "206-212-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBETTS",
        "first_name": "SHANNON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "61014429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WEBER TEBBETTS",
            "middle_name": "LINDSAY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anuta S Sulzhik
• Phavikone Sundara, ACUPUNCTURIST
• Absira Eshetu Tadesse, REGISTERED NURSE
• Allen Brian Tanner, DC
• Yenealem Tesfaye Tassew
• Vu H Thach
• Purnima Thapa
• The Bartell Drug Co
• The Bartell Drug Co
• The Choice Care

• Community Health Registered Nurse in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.