What is Beau Shattuck's NPI number?

Beau Shattuck's National Provider Identifier (NPI) is 1710658547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Beau Shattuck's specialty?

Beau Shattuck is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Beau Shattuck located?

Beau Shattuck's practice location on file with NPPES is 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070.

What is Beau Shattuck's phone number?

The practice phone number listed in the NPPES registry for Beau Shattuck is (360) 763-5828.

Is Beau Shattuck's NPI active?

Yes — Beau Shattuck's NPI (1710658547) is active in the NPPES registry as of the last update on 2021-09-22.

IndividualActive

Beau Shattuck

NPI 1710658547 · Peer Specialist · Lacey, WA

Beau Shattuck is a Peer Specialist provider in Lacey, WA (NPI 1710658547).

Provider details

NPI number: 1710658547
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% 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

612 Woodland Square Loop Se Ste 401

Lacey, WA 98503-1070

Phone: (360) 763-5828

Street-level locationGet directions

More WA providers

Mailing address