SHANNON DODGE NPI 1629986997

NPI Information

  • NPI: 1629986997
  • Provider Name: SHANNON DODGE
  • Classification: Adult Companion - 372600000X
  • Entity Type: Individual
  • Address: 7711 NE 175TH ST UNIT B107
    KENMORE, WA
    ZIP 98028
  • Phone: (425) 359-3829

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NPI Details

Shannon Dodge is an adult companion in Kenmore, WA. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Shannon Dodge NPI is 1629986997. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7711 NE 175TH ST UNIT B107
KENMORE, WA
ZIP 98028-575
Phone: (425) 359-3829

The enumeration date for this NPI number is 8/28/2026 and was last updated on 8/28/2026.

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
1372600000XAdult Companion605908945WASHINGTONYes

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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