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

Shannon Eloise Bolt, ARNP

Individual provider Registered Nurse · NPI 1083006522

Shannon Eloise Bolt, ARNP is a Nurse Practitioner in Yakima, Washington. Qualified in 2022, 4 years ago. Practices with Jenatte Clark Dermatology PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2015
Specialties on file
2
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

4209 Tieton Dr
Yakima, WA 98908-3377
Phone: (509) 654-9810
Fax: (509) 966-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61369683 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60528267 (WA)

Record details

NPI number1083006522
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address4209 Tieton Dr, Yakima, WA 98908-3377

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jenatte Clark Dermatology Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Yakima