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

Shannon Adam Boustead, MD

Individual provider Family Medicine Physician · NPI 1881883593

Shannon Adam Boustead, MD is an Addiction Medicine in Bellingham, Washington. Qualified in 2007, 19 years ago. Practices with Sea Mar Community Health Centers, a 236-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone: (360) 671-3225
Fax: (360) 671-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.MD.60099520 (WA)

Record details

NPI number1881883593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 18, 2007
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sea Mar Community Health Centers — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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