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

Shane Sue Whitehead

Individual provider Physician Assistant · NPI 1073260600

Shane Sue Whitehead is a Physician Assistant in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

5801 Sand Point Way NE
Seattle, WA 98105-2147
Phone: (206) 987-4585
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61450508 (WA)

Record details

NPI number1073260600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2022
Last updated in NPPESAugust 7, 2023
Certification dateAugust 5, 2023
Mailing address7015 25th Ave Ne, Seattle, WA 98115-5811

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