Active NPI
Hannah Amelia Shelton, MN ARNP FNP-C
- Family Nurse Practitioner
- Richland, WA
National Provider Identifier
1821414640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60456297
- Practice address
- 1268 Lee Blvd
Richland, WA 99352 - Phone
- (509) 942-2660
- Fax
- (509) 942-2836
- NPI assigned
- Mar 17, 2014
- Last updated
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00172683 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60456297 | WA | Primary |
Addresses
Primary practice location
1268 Lee Blvd
Richland, WA 99352
Mailing address
500 Gage Blvd
Suite 203
Richland, WA 99352
Phone (509) 942-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821414640 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hrhawn1109063@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00172683 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients |
Locations
1268 Lee Blvd
Richland, WA 99352
Phone (509) 942-2660
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1821414640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GAGE BLVD",
"address_2": "SUITE 203",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 LEE BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-2660",
"fax_number": "509-942-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "HANNAH",
"middle_name": "AMELIA",
"credential": "MN ARNP FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00172683",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60456297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821414640",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hrhawn1109063@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1268 Lee Blvd",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "99352",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.