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SHANE B CARSON D.O.
NPI 1710917299
Pediatrics in Spokane, WA

Active since July 03, 2006
1919 S GRAND BLVD, SPOKANE, WA 99203(509) 747-3081(509) 227-7070 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 3, 2021, May 18, 2017 (2 updates tracked since 2017).

About Shane B Carson D.o. NPPES

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

SHANE B CARSON D.O. (NPI 1710917299) is an individual pediatrics provider in Spokane, Washington, licensed in Washington (OP00002101) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710917299
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHANE B CARSONCredential: D.O.
Location Address1919 S GRAND BLVDSpokane, WA 99203-2347
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 747-3081
Phone(509) 747-3081
Fax(509) 227-7070
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1710917299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · OP00002101
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1919 S GRAND BLVD, Spokane, WA 99203
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Other Identifiers 1

Medicaid8454654WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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.

WOMEN FIRST, PS
Obstetrics & Gynecology (Gynecology)
1919 S GRAND BLVD, SUITE A
SPOKANE, WA 99203
Spokane County (509) 536-1836
MRS. KAITLIN MALLON ARNP
Nurse Practitioner (Family)
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
KATHERINE ROSSI HARRIS
Social Worker (Clinical)
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
CINDY K HOLLENBAUGH M.D.
Pediatrics
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
DR. BRANDON M WHITE M.D.
Pediatrics
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
BRENNA CHERIE RITTENOUR
Nurse Practitioner (Family)
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
JULIANA ZAJICEK STEGENGA LICSW-A
Social Worker (Clinical)
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081
MIRANDA CAMILLE STEIN MD
Pediatrics
1919 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 747-3081

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 Shane Carson's NPI number?

The NPI number for Shane Carson is 1710917299. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Shane Carson located?

Shane Carson practices at 1919 S Grand Blvd, Spokane, WA 99203. The listed phone number is (509) 747-3081.

What is Shane Carson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shane Carson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shane Carson 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 Shane Carson was last updated on May 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.