SHANNON ELIZABETH KEENAN ARNP NPI 1134694615

NPI Information

  • NPI: 1134694615
  • Provider Name: SHANNON ELIZABETH KEENAN, ARNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1310 S UNION AVE STE A302
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 214-0352

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NPI Details

Shannon Elizabeth Keenan, ARNP is a primary care nurse practitioner in Tacoma, WA with 7 years of experience. Shannon Elizabeth Keenan, ARNP NPI is 1134694615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1310 S UNION AVE STE A302
TACOMA, WA
ZIP 98405-928
Phone: (253) 214-0352
Fax: (253) 201-5107

The NPI 1134694615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 10/10/2018 and was last updated on 3/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareAP6089775WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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