LAUREN EILEEN SHADE NPI 1134809155

NPI Information

  • NPI: 1134809155
  • Provider Name: LAUREN EILEEN SHADE
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1959 NE PACIFIC ST
    SEATTLE, WA
    ZIP 98195
  • Phone: (425) 749-9511

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NPI Details

Lauren Eileen Shade is a pediatrics nurse practitioner in Seattle, WA. Lauren Eileen Shade NPI is 1134809155. 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:

1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195-001
Phone: (425) 749-9511

The NPI 1134809155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 5/1/2024.

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
1163W00000XRegistered NurseRN60918239WASHINGTONNo
2363LP0200XNurse PractitionerPediatricsAP61553983WASHINGTONYes

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: 3/30/2025

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