WARREN SHADKO PMHNP-BC
NPI 1538709092
Nurse Practitioner - Psychiatric/Mental Health in Kirkland, WA

Active since January 13, 2020
11335 NE 122ND WAY STE 105, KIRKLAND, WA 98034(425) 298-7480 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Feb 9, 2022, Feb 19, 2020 and 1 more (4 updates tracked since 2020).

About Warren Shadko Pmhnp-bc NPPES

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

WARREN SHADKO PMHNP-BC (NPI 1538709092) is an individual psychiatric/mental health provider in Kirkland, Washington, licensed in Washington (AP61098454) and active in the NPI registry since January 2020. He maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1538709092
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWARREN SHADKOCredential: PMHNP-BC
Location Address11335 NE 122ND WAY STE 105Kirkland, WA 98034-6933
Mailing Address11335 Ne 122nd Way Ste 105Kirkland, WA 98034-6933 · (425) 298-7480
Sole ProprietorNo
Enumeration DateJanuary 13, 2020
Last NPPES UpdateFebruary 22, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1538709092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in WA · AP61098454 Licensed in NC · 5012834 Licensed in NV · 836257
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 277126 (NC)
11335 NE 122ND WAY STE 105, Kirkland, WA 98034

Secondary Practice Location 1

Location 13430 E Russell Rd Ste 301-40Las Vegas, NV 89120-2201 · Phone (425) 298-7480

Accepted Insurance

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.

Counselor (Mental Health)
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Dietitian, Registered
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Nurse Practitioner (Psychiatric/Mental Health)
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Counselor (Mental Health)
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Psychologist (Clinical)
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Counselor (Mental Health)
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
Clinic/Center
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034
In Home Supportive Care
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034

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 Warren Shadko's NPI number?

The NPI number for Warren Shadko is 1538709092. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Warren Shadko located?

Warren Shadko practices at 11335 NE 122nd Way Ste 105, Kirkland, WA 98034. The listed phone number is (425) 298-7480.

What is Warren Shadko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Warren Shadko accept?

Health plans from Medica and UnitedHealthcare list Warren Shadko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Warren Shadko was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.