Shannon Slack
NPI 1790161222 · Nurse Practitioner · Olympia, WA
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Slack is a Nurse Practitioner provider in Olympia, WA (NPI 1790161222).
Provider details
- NPI number
- 1790161222
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP60571003 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2015-08-06
- Last updated
- 2017-04-19
Frequently asked questions
- What is Shannon Slack's NPI number?
- Shannon Slack's National Provider Identifier (NPI) is 1790161222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Slack's specialty?
- Shannon Slack is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Slack located?
- Shannon Slack's practice location on file with NPPES is 2000 Lakeridge Dr Sw, Olympia, WA 98502-6001.
- What is Shannon Slack's phone number?
- The practice phone number listed in the NPPES registry for Shannon Slack is (360) 754-2941.
- Does Shannon Slack accept Medicare?
- Shannon Slack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Slack's NPI active?
- Yes — Shannon Slack's NPI (1790161222) is active in the NPPES registry as of the last update on 2017-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.