SHANNON KELLY RASTETTER RN NPI 1235892167

NPI Information

NPI: 1235892167
Provider Name: SHANNON KELLY RASTETTER, RN
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
160 NW GILMAN BLVD STE 406
ISSAQUAH, WA
ZIP 98027
Phone: (206) 523-1212
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Shannon Kelly Rastetter, RN is a lactation consultant registered nurse in Issaquah, WA. Shannon Kelly Rastetter, RN NPI is 1235892167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 NW GILMAN BLVD STE 406
ISSAQUAH, WA
ZIP 98027-549
Phone: (206) 523-1212

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant	RN60179026	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTHER	OTHER	WASHINGTON	N/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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