SHANE BLUNK MD
NPI 1871186890
Pediatrics in Tacoma, WA

Q: What is Shane Blunk's NPI number?

The NPI number for Shane Blunk is 1871186890. It was assigned to this individual provider in the NPPES registry on February 20, 2021.

Q: What is Shane Blunk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Blunk was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 20, 2021

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3066 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2024, Dec 11, 2022, Feb 20, 2021 (3 updates tracked since 2021).

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About Shane Blunk Md NPPES

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

SHANE BLUNK MD (NPI 1871186890) is an individual pediatrics provider in Tacoma, Washington, licensed in Nebraska (34951) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1871186890

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSHANE BLUNKCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3066

Phone(253) 968-3066

Sole ProprietorNo

Enumeration DateFebruary 20, 2021

Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1871186890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 34951

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 34951 (NE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered