Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871394197 Individual Practitioner Male Practitioner

Shawn Michael Brannan , SUDPT

Licensed Practical Nurse • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Shawn Brannan, SUDPT is a registered healthcare professional specializing in Licensed Practical Nurse in Vancouver, WA. Practice services are available at 1601 E 4TH PLAIN BLVD BLDG 17 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 E 4th Plain Blvd Bldg 17

Vancouver, WA 986613717

Telephone 3603978246
Associated Practice Facility / Clinic
🏢 Lifeline Connections Facility NPI 1689892473

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Vancouver, WA

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

Practicing in Vancouver, 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: 2025-03-22
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60057500

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

40 Associated Practitioners
NPI 1003043332

Master of Social Work

Leticia Cuevas

Counselor - Addiction (Substance Use Disorder)

NPI 1003354259
Laura Tenney , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1003443482
Ena Valjevac

Counselor

NPI 1003458894
Jacob Hammond , CMHC

Counselor - Mental Health

NPI 1003654765
Marry-Kate Lindsey , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1003686171

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 22, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2025

Registered at 1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 986613717 (Tel: 3603978246)

📍
Updated Business Mailing Address March 22, 2025

Registered at 17011 NE 23RD ST, VANCOUVER, WA 986846759 (Tel: 3608313199)

👤
Provider Name / Credentials Updated March 22, 2025

Recorded as SHAWN BRANNAN, SUDPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2025

Licensed Practical Nurse (License #LP60057500 in WA)

🟢
Initial NPI Registration & Enumeration March 22, 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: 1871394197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2025
Last Update: March 22, 2025
Sole Proprietor: Yes

Mailing Address

17011 Ne 23rd St

Vancouver, WA 986846759

Phone: 3608313199

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.