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SHANNON URSULA WATERMAN MD
NPI 1649279860
General Practice in Tacoma, WA

Active since July 19, 2005
11225 PACIFIC AVENUE, PARKLAND CLINIC COMMUNITY HEALTHCARE, TACOMA, WA 98444(253) 536-2020(253) 536-5327 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shannon Ursula Waterman Md NPPES

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

SHANNON URSULA WATERMAN MD (NPI 1649279860) is an individual general practice provider in Tacoma, Washington, licensed in Washington (MD00041919) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1649279860
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSHANNON URSULA WATERMANCredential: MD
Location Address11225 PACIFIC AVENUE, PARKLAND CLINIC COMMUNITY HEALTHCARETacoma, WA 98444
Mailing Address101 E 26th StreetTacoma, WA 98421 · (253) 722-1540 · Fax (253) 722-1546
Phone(253) 536-2020
Fax(253) 536-5327
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateAugust 5, 2009
✔ NPI 1649279860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00041919
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
Also ListedSurgeryTaxonomy 208600000X · License 025209MD00041909 (WA)
11225 PACIFIC AVENUE, Tacoma, WA 98444
Open in Google Maps ↗

Other Identifiers 6

OtherP00707652Medicare Railroad
Medicare ID-Type Unspecified8HBX77
Medicaid8505422WA
Medicare PIN8871165
Medicare UPINI01237
Medicaid41383885NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Other Providers at the Same Location NPPES

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

CARRI JO TIMMER D.O.
Family Medicine
11225 PACIFIC AVENUE, PARKLAND CLINIC
TACOMA, WA 98444
Pierce County (253) 536-2020

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 Waterman's NPI number?

The NPI number for Shannon Waterman is 1649279860. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Shannon Waterman located?

Shannon Waterman practices at 11225 Pacific Avenue Parkland Clinic Community Healthcare, Tacoma, WA 98444. The listed phone number is (253) 536-2020.

What is Shannon Waterman's specialty?

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

What insurance does Shannon Waterman accept?

Health plans from PacificSource Health Plans list Shannon Waterman 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 Shannon Waterman was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.