Kirsten Shockman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

965 Goethals Dr
Richland, WA 99352-3527

Phone

(509) 460-5588

Fax

(509) 783-5438

NPI assigned

Jun 11, 2021

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

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1720656200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 W GAGE BLVD APT V201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368172",
            "telephone_number": "541-571-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523527",
            "telephone_number": "509-460-5588",
            "fax_number": "509-783-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 W Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363301",
            "country_code": "US",
            "telephone_number": "509-460-5588",
            "fax_number": "509-783-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKMAN",
        "first_name": "KIRSTEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sheehan, PA-C
• Hannah Amelia Shelton, MN ARNP FNP-C
• Michael Tyshune Shelton, RN, MSN
• Nataliya S Sherepitka, INTERPRETER
• Kelly Sherman, NC
• Allen B Shoham, MD
• Anna K Shoolroy, PA-C
• Shriners Hospitals for Children
• Wendy Shulins-Briggs, LMP
• Jana R Shumate, BA CASE MANAGER

• Physical Therapy Assistant in Richland, WA
• Providers in Richland, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.