SHAVONNE LATRICE REYNOLDS NPI 1760095889

NPI Information

NPI: 1760095889
Provider Name: SHAVONNE LATRICE REYNOLDS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 744-3000
Get Directions

Shavonne Latrice Reynolds is a family nurse practitioner in Seattle, WA with 1 years of experience. Shavonne Latrice Reynolds NPI is 1760095889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

325 9TH AVE
SEATTLE, WA
ZIP 98104-499
Phone: (206) 744-3000

The NPI 1760095889 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 enumeration date for this NPI number is 8/28/2020 and was last updated on 5/30/2023.

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
1	363LF0000X	Nurse Practitioner	Family	RN60559903	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP61442224	WASHINGTON	Yes
3	163W00000X	Registered Nurse		RN60559903	WASHINGTON	No

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: 4/28/2024

NPI Synchronization or Removal

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