Shannon Marie Northup, is a
Peer Specialist based in Shelton, Washington. Shannon Marie Northup is licensed to practice in * (Not Available) (license number ) and her current practice location is
601 W Franklin St Ste A, Shelton, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 462-3016.
NPI number for Shannon Marie Northup is 1598300584 and her current mailing address is 601 W Franklin St Ste A, Shelton, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598300584.
Healthcare Provider's Profile
Full Name | Shannon Marie Northup |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 601 W Franklin St Ste A, Shelton, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598300584
- Provider Enumeration Date: 11/13/2019
- Last Update Date: 08/03/2022
Medical Identifiers
Medical identifiers for Shannon Marie Northup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598300584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Marie Northup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Marie Northup, 601 W Franklin St Ste A, Shelton, WA 98584-3518 Ph: (360) 462-3016 | Shannon Marie Northup, 601 W Franklin St Ste A, Shelton, WA 98584-3518 Ph: (360) 462-3016 |
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