Individual provider Active NPI

Shannon Garner, LPN

  • Licensed Practical Nurse
  • Bremerton, WA
National Provider Identifier
1790316743
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP60915478 Issued in WA
Practice address
1520 NE Riddell Rd Ste 150
Bremerton, WA 98310-3005
Phone
(360) 228-7246
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP60915478 WA Primary

Addresses

Primary practice location

1520 NE Riddell Rd Ste 150
Bremerton, WA 98310-3005

Mailing address

1520 NE Riddell Rd Ste 150
Bremerton, WA 98310-3005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sgarner@baartprograms.com

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

LicenseStateTypeSpecialty
LP60915478WAMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: sgarner@baartprograms.com

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1790316743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NE RIDDELL RD STE 150",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NE RIDDELL RD STE 150",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103005",
            "telephone_number": "360-228-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "SHANNON",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60915478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sgarner@baartprograms.com",
            "affiliation": "N",
            "address_1": "1520 NE Riddell Rd Ste 150",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983103005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.