Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shine Pediatrics, PLLC

Organization Pediatric Nurse Practitioner · NPI 1821851239

Shine Pediatrics, PLLC is a Pediatric Nurse Practitioner in Bellevue, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 116th Ave NE Ste 304
Bellevue, WA 98004-3057
Phone: (225) 715-5242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1821851239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Staci Swan — Co-Owner, Arnp · (225) 715-5242
NPI enumeratedJanuary 31, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address25676 Se 149th St, Issaquah, WA 98027-8331

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