Andrew Gordon Shannahan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034073 Issued in WA

Practice address

2109 196TH St SW Ste 1
Lynnwood, WA 98036-3800

Phone

(425) 775-9914

NPI assigned

Jan 19, 2007

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1912050212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 196TH ST SW",
            "address_2": "STE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980363800",
            "telephone_number": "425-775-9914",
            "fax_number": "425-775-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 196TH ST SW STE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980363800",
            "telephone_number": "425-775-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNAHAN",
        "first_name": "ANDREW",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Severino, BS DPT
• Tsehay M Seyoum, RND
• Landi Shaanah
• Tara Shakespeare
• Shamrock Holdings LLC
• Julie Anne Sharif, MA LMHC
• Niyati Sharma
• Hillary Linwen Shaw, MD
• Stacey F Shaw, LICSW
• Amal Shawish

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.