NAN SHIN MOYNIHAN DO
NPI 1013395813
Pediatrics in Tacoma, WA

Q: What is Nan Shin Moynihan's NPI number?

The NPI number for Nan Shin Moynihan is 1013395813. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Nan Shin Moynihan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nan Shin Moynihan was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2015

1112 S CUSHMAN AVE, TACOMA, WA 98405(253) 593-2144(253) 280-9881 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Jan 9, 2025, Aug 2, 2018 (3 updates tracked since 2018).

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About Nan Shin Moynihan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAN SHIN MOYNIHAN DO (NPI 1013395813) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (OP60827822) and active in the NPI registry since May 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013395813

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNAN SHIN MOYNIHANCredential: DO

Location Address1112 S CUSHMAN AVETacoma, WA 98405

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (253) 681-6626

Phone(253) 593-2144

Fax(253) 280-9881

Sole ProprietorNo

Enumeration DateMay 12, 2015

Last NPPES UpdateMay 22, 20253 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1013395813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · OP60827822

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1112 S CUSHMAN AVE, Tacoma, WA 98405

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Secondary Practice Locations 2

Location 1Stony Brook University Hospital, Dept. of Pediatrics, HSC T-11 / 040Stony Brook, NY 11794-8111 · Phone (631) 444-2020 · Fax (631) 444-2894

Location 23801 150th Ave SEBellevue, WA 98006-1668 · Phone (425) 460-7140 · Fax (425) 460-7129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEA-MAR COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))