Shavonne C Tonnes, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004725 Issued in WA

Practice address

707 228TH St SW
Bothell, WA 98021-9799

Phone

(425) 742-7953

Fax

(425) 742-3683

NPI assigned

Aug 5, 2006

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

Other identifiers 4

Other names 1

• Miss Shavonne L Colebrooke 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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Excelled Healing LLC

  • Family Nurse Practitioner
  • Snohomish, WA
  • NPI 1013742964
  Medicare reassignment
• Murray a Beighton

  dba Twilight Years Geriatric Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Bothell, WA
  • NPI 1013926617
  NPD (past)
• United Wound Healing Accountable Care Consultants PLLC

  • Surgery Physician
  • Puyallup, WA
  • NPI 1881337632

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881603496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 147TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263649",
            "telephone_number": "425-742-7953",
            "fax_number": "425-742-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 228TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219799",
            "telephone_number": "425-742-7953",
            "fax_number": "425-742-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONNES",
        "first_name": "SHAVONNE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROGENCE BLUE SHIELD",
            "identifier": "7340T0",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR INDUSTRY",
            "identifier": "0195262",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00206112",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8422560",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAVONNE",
            "last_name": "COLEBROOKE",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Issana To
• Steve Tollefson, PT
• Kathryn Ann Tomas-Bugayong
• Abby Tomlinson, LMFTA
• Nha Ke Ton, D.O.
• Joshua Torell
• Karen Fernanda Torres
• Karima A Torres
• Total Renal Care Inc (Mill Creek Dialysis)
• Touch Health LLC

• Physician Assistant in Bothell, WA
• Providers in Bothell, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.