Shawna E Purcell

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD60101885 Issued in WA

Practice address

404 Yauger Way SW Ste 100
Olympia, WA 98502-8152

Phone

(360) 596-4614

Fax

(360) 596-4889

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shawna E Adolphs Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Capital Medical Center Physicians LLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283
  Medicare reassignment NPD
• Capital Medical Center Physicians LLC

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1861683799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 YAUGER WAY SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028152",
            "telephone_number": "360-596-4614",
            "fax_number": "360-596-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 YAUGER WAY SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028152",
            "telephone_number": "360-596-4614",
            "fax_number": "360-596-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SHAWNA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60101885",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "LL17327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "ADOLPHS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Puget Sound Healthcare - Olympia LLC
• Puget Sound Healthcare-Olympia, LLC
• Ralph Jay Nadong Pulido, MSN, ARNP, FNP-C
• Lindsey Cheryl Pulley, SLP-A
• Alexandria Nichole Purcell, RDN
• Purcellmdical PLLC
• Kaitlyn Buswell Puri
• Krista Lynn Pursglove, DO
• Sara E Pursley
• Luella Marie Purtell, RN

• Internal Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.

Verify at the official NPI Registry.