1. Home
  2. Directory
  3. Washington
  4. Tumwater
  5. General Practice
  6. NPI Profile

DR. TIM PAUL SHANNON N.D.
NPI 1023263027
General Practice in Tumwater, WA

Active since November 19, 2008
205 CLARK PL SE, TUMWATER, WA 98501(360) 570-0401(360) 570-2060 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tim Paul Shannon N.d. NPPES

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

DR. TIM PAUL SHANNON N.D. (NPI 1023263027) is an individual general practice provider in Tumwater, Washington, licensed in Washington (NT60332027) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1023263027
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TIM PAUL SHANNONCredential: N.D.
Location Address205 CLARK PL SETumwater, WA 98501-4062
Mailing Address205 Clark Pl SeTumwater, WA 98501-4062 · (360) 570-0401 · Fax (360) 570-2060
Phone(360) 570-0401
Fax(360) 570-2060
Sole ProprietorYes
Enumeration DateNovember 19, 2008
Last NPPES UpdateMarch 14, 2014
✔ NPI 1023263027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · NT60332027
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
205 CLARK PL SE, Tumwater, WA 98501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 15

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

MS. KRISTEN R. RUBIS LMP
Specialist
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 534-4716
RANDALL JAMES CARPIO JR.
Naturopath
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
MICHELE LYNN DEISERING N.D.
Naturopath
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
MRS. MANUELA REGINA EGOLF LMP
Massage Therapist
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
HEART OF WELLNESS INC
Clinic/Center
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
MARIEVE SAINE
Nutritionist
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
AMY JOY HOWELL OTR/L
Occupational Therapist
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401
GARY EDWARD BLACK LMP
Massage Therapist
205 CLARK PL SE
TUMWATER, WA 98501
Thurston County (360) 570-0401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Shannon's NPI number?

The NPI number for Tim Shannon is 1023263027. It was assigned to this individual provider in the NPPES registry on November 19, 2008.

Where is Tim Shannon located?

Tim Shannon practices at 205 Clark Pl SE, Tumwater, WA 98501. The listed phone number is (360) 570-0401.

What is Tim Shannon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Tim Shannon accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Tim Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tim Shannon was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.