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

Shae Kanakaole, PA-C

Individual provider Medical Physician Assistant · NPI 1982110045

Shae Kanakaole, PA-C is a Physician Assistant in Lakewood, Washington. Qualified in 2024, 2 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7308 Bridgeport Way W Ste 201
Lakewood, WA 98499-8000
Phone: (253) 582-7257
Fax: (253) 582-1617
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 — (253) 358-4002
  • 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 — (253) 830-5200

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61634578 (WA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1982110045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2017
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lakewood