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

Shannon Ursula Waterman, MD

Individual provider Surgery Physician · NPI 1649279860

Shannon Ursula Waterman, MD is a Surgery Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11225 Pacific Avenue Parkland Clinic Community Healthcare
Tacoma, WA 98444
Phone: (253) 536-2020
Fax: (253) 536-5327
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD00041919 (WA)
Surgery Physician Taxonomy 208600000X · Licence 025209MD00041909 (WA)

Record details

NPI number1649279860
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESAugust 5, 2009

Other providers in Tacoma