Individual provider Active NPI

Stephanie Shaw, DNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1811364995
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61576033 Issued in WA
Practice address
220 Unity St
Bellingham, WA 98225-4420
Phone
(360) 676-6177
Fax
(360) 676-6177
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004457 AR
Family Nurse Practitioner 363LF0000X AP61576033 WA Primary

Addresses

Primary practice location

220 Unity St
Bellingham, WA 98225-4420

Mailing address

220 Unity St
Bellingham, WA 98225-4420
Phone (360) 676-6177

Other identifiers 2

IdentifierTypeStateIssuer
213811758MedicaidAR
A004457OtherARAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CA, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160510002025 AR Practitioner - Nurse Practitioner 1254640584 Reassigns benefits to 1 organization
I20250313003650 CA Practitioner - Nurse Practitioner 1254640584 Reassigns benefits to 1 organization
I20250702002378 WA Practitioner - Nurse Practitioner 1254640584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Care NorthwestGroup PAC ID 7911897699, 39 clinicians

Practice addresses (Care Compare)

1500 N State St
Bellingham, WA 98225-4551
Phone (360) 676-6177

220 Unity St
Bellingham, WA 98225-4420
Phone (360) 676-6177

Hospital & facility affiliations

  • Peacehealth Home Health of Whatcom County Home health agency, Bellingham, WA, CCN 507307
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Care Northwest CurrentSince Aug 5, 2025 Accepting new patients
Unity Care Northwest Current Accepting new patients
Unity Care Northwest CurrentSince Aug 5, 2025 Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 20, 2025 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 20, 2025 Accepting new patients

Locations

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1616 Cornwall Ave
Ste 205
Bellingham, WA 98225
Phone (360) 656-6177

220 Unity St
Bellingham, WA 98225
Phone (206) 540-7494

6060 Portal Way
Ferndale, WA 98248
Phone (360) 752-7408

Interoperability endpoints

  • Direct secure messaging: sshaw718677@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sshaw806665@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1811364995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254420",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254420",
            "telephone_number": "360-676-6177",
            "fax_number": "360-676-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "STEPHANIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61576033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213811758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "A004457",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.