SHONALI RAYNEEKA PRASAD
NPI 1336961424
Student in an Organized Health Care Education/Training Program in Renton, WA

Q: What is Shonali Prasad's NPI number?

The NPI number for Shonali Prasad is 1336961424. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Q: What is Shonali Prasad's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shonali Prasad was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 29, 2024PECOS EnrolledAccepts Medicare Assignment

3901 NE 4TH ST STE 105, RENTON, WA 98056(425) 690-3410(425) 690-9410 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shonali Rayneeka Prasad NPPES

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

SHONALI RAYNEEKA PRASAD (NPI 1336961424) is an individual student in an organized health care education/training program in Renton, Washington and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gig Harbor, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336961424

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHONALI RAYNEEKA PRASAD

Location Address3901 NE 4TH ST STE 105Renton, WA 98056-4100

Mailing Address3901 Ne 4th St Ste 105Renton, WA 98056-4100 · (425) 690-3410 · Fax (425) 690-9410

Phone(425) 690-3410

Fax(425) 690-9410

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 29, 2024

Last NPPES UpdateMay 10, 2026

NPPES CertifiedMay 10, 2026

✔ NPI 1336961424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP70094616 (WA)

3901 NE 4TH ST STE 105, Renton, WA 98056

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Secondary Practice Location 1

Location 14700 Point Fosdick Dr Ste 102Gig Harbor, WA 98335-1706 · Phone (253) 853-2050

Other Identifiers 1

Medicaid20175152WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shonali Rayneeka Prasad is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597232710

PECOS Enrollment IDI20260424002347

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ANNA ELEANOR GOEBEL MD

Family Medicine