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Active NPI 1811867153 Individual Practitioner Male Practitioner

Jack Christian Shephard , RN

Registered Nurse - Case Management • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Jack Shephard, RN is a registered healthcare professional specializing in Registered Nurse - Case Management in Seattle, WA. Practice services are available at 4831 35TH AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4831 35th Ave Sw

Seattle, WA 981262709

Telephone 2069233941
Fax 2069233941
Associated Practice Facility / Clinic
🏢 Providence Health & Services Washington Facility NPI 1952386369

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - Case Management in Seattle, WA

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

Practicing in Seattle, WA (221 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: 2025-11-11
Registered Nurse - Case Management Primary Specialty

NUCC Taxonomy Code: 163WC0400X

State License WA RN60389134

Definition to come...

Practice Associates & Co-Workers

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

25 Associated Practitioners
NPI 1033988290
NPI 1053189779

Certified Nursing Assistant, MEDTECH

Micheal Henry , PD

Pharmacist - Geriatric

NPI 1174661805
Charline Otieno

Nurse's Aide

NPI 1194592147
Margaret Macharia

Licensed Practical Nurse

NPI 1205605045
Anastasia Adams , LPN

Licensed Practical Nurse

NPI 1205606639

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2025

Registered at 4831 35TH AVE SW, SEATTLE, WA 981262709 (Tel: 2069233941)

📍
Updated Business Mailing Address November 11, 2025

Registered at 4831 35TH AVE SW, SEATTLE, WA 981262709 (Tel: 2069233941)

👤
Provider Name / Credentials Updated November 11, 2025

Recorded as JACK SHEPHARD, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2025

Registered Nurse (License #RN60389134 in WA)

🟢
Initial NPI Registration & Enumeration November 11, 2025

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: 1811867153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2025
Last Update: November 11, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4831 35th Ave Sw

Seattle, WA 981262709

Phone: 2069233941

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.