Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205535804 Individual Practitioner Female Practitioner

Jackie Shaffer

Licensed Practical Nurse • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Jackie Shaffer is a registered healthcare professional specializing in Licensed Practical Nurse in Shelton, WA. Practice services are available at 307 W COTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 W Cota St

Shelton, WA 985842265

Telephone 3602058010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Shelton, WA

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

Practicing in Shelton, 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: 2023-03-02
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60198375

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

16 Associated Practitioners
Ashley Armstrong

Counselor - Mental Health

NPI 1023627478
Damian Buchanan

Counselor - Mental Health

NPI 1124695481
Misty Crane

Counselor - Mental Health

NPI 1184209702
Amy Brumbaugh , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194458398

Advanced Registered Nurse Practitioner

Jennifer Leonard

Counselor - Mental Health

NPI 1245849587
Miya Diambri-Marohl

Counselor - Mental Health

NPI 1366011785

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2023

Registered at 307 W COTA ST, SHELTON, WA 985842265 (Tel: 3602058010)

📍
Updated Business Mailing Address March 02, 2023

Registered at 307 W COTA ST, SHELTON, WA 985842265 (Tel: 3602058010)

👤
Provider Name / Credentials Updated March 02, 2023

Recorded as JACKIE SHAFFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2023

Licensed Practical Nurse (License #LP60198375 in WA)

🟢
Initial NPI Registration & Enumeration March 02, 2023

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: 1205535804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2023
Last Update: March 02, 2023
Sole Proprietor: Yes

Mailing Address

307 W Cota St

Shelton, WA 985842265

Phone: 3602058010

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.