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CHRISTINA PHYLLIS SHADLE
NPI 1306714316
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since October 29, 2025
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christina Phyllis Shadle NPPES

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

CHRISTINA PHYLLIS SHADLE (NPI 1306714316) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1306714316
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHRISTINA PHYLLIS SHADLE
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4311 11th Ave Ne Ste 200Seattle, WA 98105-6367 · (206) 616-4001
Phone(206) 616-4001
Sole ProprietorNo
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1306714316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4311 11TH AVE NE STE 200, Seattle, WA 98105
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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.

ROGER SHERMAN PA-C
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (216) 616-4001
DARCY LEIGH MULLIGAN
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MERON H MILES
Physician Assistant (Surgical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
ANDREW SCOTT MISCOVICH PA-S
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
LAURYN LOUISE CARR PA-C
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MR. GABRIEL KRISTOPHER PUNAHELE IZUMI
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
JUNGSHENG SU
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
QUINSEY CHERI JORGENSON-DELACRUZ
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001

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 Christina Shadle's NPI number?

The NPI number for Christina Shadle is 1306714316. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Christina Shadle located?

Christina Shadle practices at 4311 11th Ave NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 616-4001.

What is Christina Shadle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christina Shadle was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.