IndividualActive
Nan Shin Moynihan, DO
NPI 1013395813 · Pediatrics Physician · Tacoma, WA
Provider details
- NPI number
- 1013395813
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OP60827822 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1112 S Cushman Ave
Tacoma, WA 98405
Phone: (253) 593-2144
Fax: (253) 280-9881
Street-level locationGet directions
Mailing address
Po Box 34703
Seattle, WA 98124-1703
Additional practice locations (2)
- Stony Brook University HospitalDept. of Pediatrics, Hsc T-11 / 040Stony Brook, NY 11794-8111Phone: (631) 444-2020Fax: (631) 444-2894
- 3801 150th Ave SeBellevue, WA 98006-1668Phone: (425) 460-7140Fax: (425) 460-7129
Registry dates
- Enumerated
- 2015-05-12
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.