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

MS. Shannon Regina Jackson, NP-C

Individual provider Family Nurse Practitioner · NPI 1851842843

MS. Shannon Regina Jackson, NP-C is a Nurse Practitioner in Seattle, Washington. Qualified in 2023, 3 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Louisiana and Washington.

Years since qualifying
3
Licensed in
LA, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone: (206) 708-6432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61640256 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP09036 (LA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP09036 (LA)

Record details

NPI number1851842843
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedOctober 14, 2016
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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