Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891530564 Individual Practitioner Female Practitioner

Malisa Shellman

Licensed Practical Nurse • Lakewood, WA

Professional Overview & Biography Verified Profile Summary

Malisa Shellman is a registered healthcare professional specializing in Licensed Practical Nurse in Lakewood, WA. Practice services are available at 9500 FRONT ST S STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9500 Front St S Ste 100

Lakewood, WA 984999415

Telephone 2533932483

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lakewood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
108 Specialists

Practicing in Lakewood, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP61220017

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Melody Clark , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1104301316
Sidney Rhodes , LPN

Licensed Practical Nurse

NPI 1114549326

Licensed Practical Nurse

Darlene Utz

Counselor - Addiction (Substance Use Disorder)

NPI 1154011039
Tesia Stokes , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1205464575
Sheila Wiggins , LPN

Licensed Practical Nurse

NPI 1265034771

Licensed Practical Nurse

Joshua Rivas , LCDC SUDP SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1285381046

LCDCSUDPSUDPT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2024

Registered at 9500 FRONT ST S STE 100, LAKEWOOD, WA 984999415 (Tel: 2533932483)

📍
Updated Business Mailing Address July 05, 2024

Registered at 6306 E SARAZEN ST SE, LACEY, WA 985138301 (Tel: 3606880277)

👤
Provider Name / Credentials Updated July 05, 2024

Recorded as MALISA SHELLMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2024

Licensed Practical Nurse (License #LP61220017 in WA)

🟢
Initial NPI Registration & Enumeration June 26, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891530564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2024
Last Update: July 05, 2024
Sole Proprietor: Yes

Mailing Address

6306 E Sarazen St Se

Lacey, WA 985138301

Phone: 3606880277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.