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

Kathy L. Shannon, ARNP

Individual provider Nurse Practitioner · NPI 1689755811

Kathy L. Shannon, ARNP is a Nurse Practitioner in Port Angeles, Washington. Qualified in 2000, 26 years ago. Practices with Peninsula Behavioral Health, a 20-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2006
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

118 E 8th St
Port Angeles, WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP30006382 (WA)

Record details

NPI number1689755811
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Peninsula Behavioral Health — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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