IndividualActive

Shae Kanakaole, PA-C

NPI 1982110045 · Surgical Physician Assistant · Lakewood, WA

Provider details

NPI number: 1982110045
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense PA61634578 (WA)
Physician Assistants & Advanced Practice Nursing Providers
Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(71/100 index)

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

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

7308 Bridgeport Way W Ste 201

Lakewood, WA 98499-8000

Phone: (253) 582-7257

Fax: (253) 582-1617

Street-level locationGet directions

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Mailing address