SHANNON SLACK
NPI 1790161222
Nurse Practitioner in Olympia, WA
About Shannon Slack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON SLACK (NPI 1790161222) is an individual nurse practitioner in Olympia, Washington, licensed in Washington (AP60571003) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Slack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OLYMPIA, WA 98502
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 Slack's NPI number?
The NPI number for Shannon Slack is 1790161222. It was assigned to this individual provider in the NPPES registry on August 6, 2015.
Where is Shannon Slack located?
Shannon Slack practices at 2000 Lakeridge Dr SW, Olympia, WA 98502. The listed phone number is (360) 754-2941.
What is Shannon Slack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shannon Slack enrolled in Medicare?
Yes. Shannon Slack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Slack was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.
