Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790161222 Individual Practitioner Female Practitioner

Shannon Slack

Nurse Practitioner • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Shannon Slack is a registered healthcare professional specializing in Nurse Practitioner in Olympia, WA. Practice services are available at 2000 LAKERIDGE DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2000 Lakeridge Dr Sw

Olympia, WA 985026001

Telephone 3607542941
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Olympia, WA (2339 Statewide)

Telehealth Adoption Rate
12.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60571003

(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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Staci Coleman

Social Worker - Clinical

NPI 1093251423
NPI 1821510462

PEERRECOVERYCOACH

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 19, 2017

Registered at 9039 SILVERSPOT DR SE, TUMWATER, WA 985015575 (Tel: 3607917133)

📍
Updated Practice Location April 19, 2017

Registered at 2000 LAKERIDGE DR SW, OLYMPIA, WA 985026001 (Tel: 3607542941)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as SHANNON SLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Nurse Practitioner (License #AP60571003 in WA)

NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2015

Registered at 2000 LAKERIDGE DR SW, OLYMPIA, WA 985026001 (Tel: 3607542941)

📍
Updated Business Mailing Address August 06, 2015

Registered at 10415 35TH LN SE, OLYMPIA, WA 985139304 (Tel: 3604125983)

👤
Provider Name / Credentials Updated August 06, 2015

Recorded as SHANNON YOUNG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Nurse Practitioner (License #AP60571003 in WA)

🟢
Initial NPI Registration & Enumeration August 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Shannon Slack. Be the first to share your experience!

Sign in to leave a review for Shannon Slack

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790161222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2015
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

9039 Silverspot Dr Se

Tumwater, WA 985015575

Phone: 3607917133

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.