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SHANNON CRYSTAL ANTIPOV LPN
NPI 1417844556
General Practice in Seattle, WA

Active since June 20, 2025
13555 AURORA AVE N, SEATTLE, WA 98133(206) 848-4447 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Crystal Antipov Lpn NPPES

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

SHANNON CRYSTAL ANTIPOV LPN (NPI 1417844556) is an individual general practice provider in Seattle, Washington, licensed in Washington (LP6134072) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1417844556
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSHANNON CRYSTAL ANTIPOVCredential: LPN
Location Address13555 AURORA AVE NSeattle, WA 98133-7511
Mailing Address1887 Whitney Mesa Dr # 4832Henderson, NV 89014-2069
Phone(206) 848-4447
Sole ProprietorNo
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1417844556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · LP6134072
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13555 AURORA AVE N, Seattle, WA 98133
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Other Providers at the Same Location NPPES 9

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

JELLIANE ANASCO
Counselor (Addiction (Substance Use Disorder))
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 999-5750
ESTHER PINEIRO
Counselor (Mental Health)
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 833-7444
NEIGHBORCARE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
13555 AURORA AVE N
SEATTLE, WA 98133
King County (206) 548-7600
ALAINA MCMANUS
Counselor (Mental Health)
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 833-7444
TAYLOR J RICHARDS SUDP
Counselor (Addiction (Substance Use Disorder))
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 999-5750
WE CARE DAILY CLINICS LLC
Clinic/Center (Methadone)
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 999-5750
HAROLD LAYTON
Licensed Practical Nurse
13555 AURORA AVE N
SEATTLE, WA 98133
King County (206) 577-4406
ASHLEY FIRMAN
Peer Specialist
13555 AURORA AVE N
SEATTLE, WA 98133
King County (253) 999-5750

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 Shannon Antipov's NPI number?

The NPI number for Shannon Antipov is 1417844556. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Shannon Antipov located?

Shannon Antipov practices at 13555 Aurora Ave N, Seattle, WA 98133. The listed phone number is (206) 848-4447.

What is Shannon Antipov's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Shannon Antipov was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.