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SHELLEY ANN DODGE
NPI 1114876430
Licensed Practical Nurse in Chehalis, WA

Active since January 28, 2026
500 SE WASHINGTON AVE, CHEHALIS, WA 98532(360) 623-5580 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelley Ann Dodge NPPES

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

SHELLEY ANN DODGE (NPI 1114876430) is an individual licensed practical nurse in Chehalis, Washington, licensed in Washington (LP00018169) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1114876430
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSHELLEY ANN DODGE
Location Address500 SE WASHINGTON AVEChehalis, WA 98532-3058
Mailing Address15404 E Springfield AveSpokane Valley, WA 99037-8569 · (360) 266-5029 · Fax (360) 304-9531
Phone(360) 623-5580
Sole ProprietorNo
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1114876430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP00018169
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
500 SE WASHINGTON AVE, Chehalis, WA 98532
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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.

JOSIE A RYAN CNA
Nurse's Aide
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
CARLOS R HUGHES RN
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
JENNIFER LYNN EINMAN RN
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
MELVERN PATRICK O'BRIEN RN
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (509) 232-6755
MICHELLE N LIEN RN
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
KALOB K RAHN LPN
Nurse Practitioner
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
RHONDA LYNN CAINES LPN
Licensed Practical Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (509) 232-5766
BRIANNA LEEANN FUENTES
Counselor
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 507-8032

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 Shelley Dodge's NPI number?

The NPI number for Shelley Dodge is 1114876430. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Shelley Dodge located?

Shelley Dodge practices at 500 SE Washington Ave, Chehalis, WA 98532. The listed phone number is (360) 623-5580.

What is Shelley Dodge's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelley Dodge was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.