OrganizationActive
Shannon Reitan
NPI 1356797484 · Health Maintenance Organization · Friday Harbor, WA
Provider details
- NPI number
- 1356797484
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Shannon Reitan, Self(817) 637-4425
- License
- CO 60629779 (WA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
520 Spring St
Friday Harbor, WA 98250-8057
Phone: (817) 637-4425
Street-level locationGet directions
Mailing address
520 Spring St
Friday Harbor, WA 98250-8057
Registry dates
- Enumerated
- 2016-05-07
- Last updated
- 2016-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.