Individual provider Active NPI

Alexandra Marie Windhorn Shaver, MD

  • Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1861734394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60639198 Issued in WA
Practice address
9001 N Country Homes Blvd
Spokane, WA 99218-2072
Phone
(509) 838-2531
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ML60368616 WA
Pediatrics Physician 208000000X MD60639198 WA Primary

Addresses

Primary practice location

9001 N Country Homes Blvd
Spokane, WA 99218-2072

Mailing address

PO Box 3649
Spokane, WA 99220-3649

Other practice location 1

2700 Northup Way
Bellevue, WA 98004-1463
Phone (425) 827-4600

Other practice location 2

2700 Northup Way
Bellevue, WA 98004-1463
Phone (425) 827-4600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122001953 WA Practitioner - Pediatric Medicine 1759600091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML60368616WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

605 E Holland Ave
Ste 101
Spokane, WA 99218
Phone (509) 342-3010

9001 N Country Homes Blvd
Spokane, WA 99218
Phone (509) 744-1700

Interoperability endpoints

  • Direct secure messaging: awindhornshaver322897@direct.multicare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861734394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182072",
            "telephone_number": "509-838-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Northup Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041463",
            "country_code": "US",
            "telephone_number": "425-827-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Northup Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041463",
            "country_code": "US",
            "telephone_number": "425-827-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHORN SHAVER",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "ML60368616",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60639198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.