Shelly L Lafrance, MN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30007234 Issued in WA

Practice address

8616 NE 97TH CT
Vancouver, WA 98662-4227

Phone

(360) 600-4774

Fax

(888) 443-5148

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• St. John'S Emergency Physicians, Inc., P.S.

  • Emergency Medicine Physician
  • Longview, WA
  • NPI 1154354660
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1831210749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 NE 97TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624227",
            "telephone_number": "360-600-4774",
            "fax_number": "888-443-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 NE 97TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624227",
            "telephone_number": "360-600-4774",
            "fax_number": "888-443-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRANCE",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "MN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9652660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Shane Ladd, MA
• Jennifer N Laddusaw, LMP
• Leah Eileen Lafavor
• Lori Lynn Lafferry
• Michael Sean Lafferty, M.S. , LMHC, CMHS
• Lags Spine and Sportscare Medical Centers, Inc.
• Bridget Lahm, PAC
• James Calvin Lahoe, D.C.
• Derrick Lai, D.O.
• Matthew D Lail, CRNA

• Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.