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NICOLE SHACKELFORD RN
NPI 1164201414
Registered Nurse - Home Health in Tacoma, WA

Active since September 26, 2023
1313 BROADWAY, TACOMA, WA 98402(253) 301-6400 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Shackelford Rn NPPES

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

NICOLE SHACKELFORD RN (NPI 1164201414) is an individual home health provider in Tacoma, Washington, licensed in Washington (RN61245224) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1164201414
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameNICOLE SHACKELFORDCredential: RN
Location Address1313 BROADWAYTacoma, WA 98402-3400
Mailing Address4019 Elwood Dr WUniversity Place, WA 98466-1525
Phone(253) 301-6400
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1164201414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in WA · RN61245224
1313 BROADWAY, Tacoma, WA 98402
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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.

LISA ANN GLISSON-HAMILTON LPN
Licensed Practical Nurse
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 306-6400
MELODY GAYLE DEL ROSARIO JUEZAN
Registered Nurse (Home Health)
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 301-6400
AMBER SAECHAO
Registered Nurse (Hospice)
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 301-6400
FRANCISCAN MEDICAL GROUP
Anesthesiology
1313 BROADWAY, STE 200
TACOMA, WA 98402
Pierce County (253) 581-6403
ALLISON KAY BOWEN LICSW
Social Worker (Clinical)
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 433-4599
KATHLEEN SLIVA
Registered Nurse (Home Health)
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 301-6400
TIFFANY PARKER RN
Registered Nurse (Home Health)
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 219-7494
DR. ANNALISE REED DPT
Physical Therapist
1313 BROADWAY
TACOMA, WA 98402
Pierce County (253) 301-6400

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 Nicole Shackelford's NPI number?

The NPI number for Nicole Shackelford is 1164201414. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Nicole Shackelford located?

Nicole Shackelford practices at 1313 Broadway, Tacoma, WA 98402. The listed phone number is (253) 301-6400.

What is Nicole Shackelford's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Nicole Shackelford was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.