Active NPI
Chance Shaffner
- Paramedic
- Anacortes, WA
National Provider Identifier
1730534629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- PARA.ES.60390026
- Practice address
- 1117 14TH St
Anacortes, WA 98221-2127 - Phone
- (360) 202-5078
- NPI assigned
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | PARA.ES.60390026 | WA | Primary |
Addresses
Primary practice location
1117 14TH St
Anacortes, WA 98221-2127
Mailing address
1117 14TH St
Anacortes, WA 98221-2127
Phone (360) 202-5078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PARA.ES.60390026 | WA | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1730534629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 14TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212127",
"telephone_number": "360-202-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 14TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212127",
"telephone_number": "360-202-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFNER",
"first_name": "CHANCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "WA",
"license": "PARA.ES.60390026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.