Healthcare Provider Details

I. General information

NPI: 1447140157
Provider Name (Legal Business Name): TIMOTHY SHAWN DANNELS MSN, APRN, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2025
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 7TH AVE STE 2100
SEATTLE WA
98101-1360
US

IV. Provider business mailing address

3885 STATE ST APT 324
SANTA BARBARA CA
93105-5642
US

V. Phone/Fax

Practice location:
  • Phone: 615-477-0226
  • Fax:
Mailing address:
  • Phone: 615-477-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036327
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39103
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70020538
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: