Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205469889 Individual Practitioner Female Practitioner

Shannon J Kim , CPO, LCPO

Prosthetist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Shannon Kim, CPO, LCPO is a registered healthcare professional specializing in Prosthetist in Seattle, WA. Practice services are available at 501 EASTLAKE AVE E STE 300 SEATTLE, WA under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Eastlake Ave E Ste 300 Seattle, Wa

Seattle, WA 98109

Telephone 2065984026
Fax 2065984761
Associated Practice Facility / Clinic
🏢 Harborview Medical Center Facility NPI 1649408568

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Seattle, WA

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

Practicing in Seattle, WA (133 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: 2024-09-30
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1003240797
NPI 1184998239

Certified Prosthetist Orthotist

NPI 1225187024

CP, Licensed Psychologist

NPI 1437217031

Bachelor of Science

NPI 1538397047
NPI 1558597153

LPOCPO

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 02, 2024

Registered at 501 EASTLAKE AVE E STE 300 SEATTLE, WA, SEATTLE, WA 98109 (Tel: 2065984026)

📍
Updated Business Mailing Address October 02, 2024

Registered at 501 EASTLAKE AVE E STE 300 SEATTLE, WA, SEATTLE, WA 98109 (Tel: 2065984026)

👤
Provider Name / Credentials Updated October 02, 2024

Recorded as SHANNON KIM, CPO, LCPO

NPI Profile Active February 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2020

Registered at 10740 MERIDIAN AVE N STE G2, SEATTLE, WA 981339010 (Tel: 2063637790)

📍
Updated Business Mailing Address February 21, 2020

Registered at 10740 MERIDIAN AVE N STE G2, SEATTLE, WA 981339010 (Tel: 2063637790)

👤
Provider Name / Credentials Updated February 21, 2020

Recorded as SHANNON KIM, CP, LCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2020

Prosthetist

🟢
Initial NPI Registration & Enumeration February 21, 2020

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: 1205469889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2020
Last Update: October 02, 2024
Sole Proprietor: No

Mailing Address

501 Eastlake Ave E Ste 300 Seattle, Wa

Seattle, WA 98109

Phone: 2065984026

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.