| Shannon Pendleton, NP | |
|
3021 Griffin Ave, Enumclaw, WA 98022-2369 | |
| (360) 825-6511 | |
| (360) 825-6536 |
| Full Name | Shannon Pendleton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3021 Griffin Ave, Enumclaw, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265866313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-1615 (Hawaii) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP 60565012 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Seattle Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Pendleton, NP 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 825-6511 | Shannon Pendleton, NP 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 825-6511 |
Leslie Schear, ARNP CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 360-802-5799 | |
Katie Etherington, CNM, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 853 Watson St N Ste 200, Enumclaw, WA 98022 Phone: 360-367-2970 | |
Rhonda E Martinez, FNP-BC, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1427 Jefferson Ave, 102, Enumclaw, WA 98022 Phone: 360-802-0803 Fax: 360-802-0806 | |
Mr. Eugene W. Partridge, PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Griffin Ave, Suite 100, Enumclaw, WA 98022 Phone: 360-802-5010 Fax: 350-825-6536 | |
Julie Ann Hoffman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-6511 Fax: 360-825-6536 | |
Sydney Ann Olney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 853 Watson St N Ste 201, Enumclaw, WA 98022 Phone: 360-625-6080 |