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

Dr. Jeri Lou Shantz, EDD

Individual provider Specialist · NPI 1396949855

Dr. Jeri Lou Shantz, EDD is a Clinical Psychologist in Bellevue, Washington. Qualified in 1989, 37 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
37
Licensed in
WA
In the registry since
2007
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

1300 114th Ave SE Ste 102
Bellevue, WA 98004-6942
Phone: (425) 454-2835
Fax: (425) 454-2315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1349 (WA)

Record details

NPI number1396949855
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedJune 11, 2007
Last updated in NPPESDecember 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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