MS. SUSAN KAY SHANNON CDP
NPI 1083172613
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since March 02, 2019

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2019, Mar 2, 2019 (2 updates tracked since 2019).

About Ms. Susan Kay Shannon Cdp NPPES

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

MS. SUSAN KAY SHANNON CDP (NPI 1083172613) is an individual addiction (substance use disorder) provider in Tacoma, Washington and active in the NPI registry since March 2019. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1083172613
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SUSAN KAY SHANNONCredential: CDP
Location Address3629 S D STTacoma, WA 98418-6813
Mailing Address3629 S D StTacoma, WA 98418-6813 · (253) 798-6576
Sole ProprietorNo
Enumeration DateMarch 2, 2019
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
NPI 1083172613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3629 S D ST, Tacoma, WA 98418

Secondary Practice Location 1

Location 19236 Renton Ave SSeattle, WA 98118-5322 · Phone (206) 722-7152 ext. 3252 · Fax (206) 722-0830

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.

Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Public Health or Welfare
3629 S D ST
TACOMA, WA 98418
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Nurse's Aide
3629 S D ST
TACOMA, WA 98418
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Internal Medicine
3629 S D ST
TACOMA, WA 98418

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 Susan Shannon's NPI number?

The NPI number for Susan Shannon is 1083172613. It was assigned to this individual provider in the NPPES registry on March 2, 2019.

Where is Susan Shannon located?

Susan Shannon practices at 3629 S D St, Tacoma, WA 98418. The listed phone number is (253) 798-6576.

What is Susan Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Shannon was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.