Shadae Heliodore, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61215501 Issued in WA

Practice address

14517 40TH Ave W
Lynnwood, WA 98087-5502

Phone

(860) 313-9758

NPI assigned

Jan 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1881464378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 PROVIDENCE POINT DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297219",
            "telephone_number": "425-391-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14517 40TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875502",
            "telephone_number": "860-313-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELIODORE",
        "first_name": "SHADAE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61215501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Hebert, LMP
• Michael Phoenix Jay Hefferan
• Benjamin Heinbaugh
• Stephen Heins
• Amy Helgoe
• Seanna Hellard
• Megan Kristine Helms
• Tiffany Marie Hemingway, L.M.P
• Payam Hemmat, DDS
• Hemphill Chiropractic Clinic, P.S.

• Licensed Practical Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.