Active NPI
Shawn M Van Dingenen
- Home Health Aide
- Spokane, WA
National Provider Identifier
1912547613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3209 S Dearborn LN
Spokane, WA 99223-1535 - Phone
- (509) 862-9563
- NPI assigned
- Jan 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3209 S Dearborn LN
Spokane, WA 99223-1535
Mailing address
3011 E Columbia Ave Apt 4
Spokane, WA 99208-2342
Phone (509) 862-9563
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1912547613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 E COLUMBIA AVE APT 4",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992082342",
"telephone_number": "509-862-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 S DEARBORN LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992231535",
"telephone_number": "509-862-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DINGENEN",
"first_name": "SHAWN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
- Jessica Marie Van Boven, LICSW
- Ean James Zahn Van Bramer, DO
- Miranda L Van de Loo, DNP, FNP-BC, PMHNP
- Olivia Van de Rostyne
- Jordon Van de Velde, DO
- Coral A Van Dyne, LMP
- Megan Elaine Van Fleet, PHARMD
- Jason Michael Van Gelder, PMHNP-BC
- Michael Jacobus Van Gelder, M.S., M.N., PMHNP
- John Andrew Van Gemert, DDS PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.