Active NPI
Shannon BB Trulson, LMFT
- Marriage & Family Therapist
- Everson, WA
National Provider Identifier
1881938389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1950
- Practice address
- 2505 Sulwhanon Drive
Everson, WA 98247 - Phone
- (360) 966-2376
- NPI assigned
- Nov 21, 2012
- Last updated
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1950 | MN | Primary |
Addresses
Primary practice location
2505 Sulwhanon Drive
Everson, WA 98247
Mailing address
PO Box 157
Deming, WA 98244-0157
Phone (360) 966-2376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1950 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1881938389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "DEMING",
"state": "WA",
"postal_code": "982440157",
"telephone_number": "360-966-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SULWHANON DRIVE",
"city": "EVERSON",
"state": "WA",
"postal_code": "98247",
"telephone_number": "360-966-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULSON",
"first_name": "SHANNON",
"middle_name": "BB",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.