Healthcare Provider Details

I. General information

NPI: 1841659109
Provider Name (Legal Business Name): SHAMAY THOMAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4839 S I ST
TACOMA WA
98408-3616
US

IV. Provider business mailing address

616 N JUNETT ST
TACOMA WA
98406-6724
US

V. Phone/Fax

Practice location:
  • Phone: 253-297-5265
  • Fax: 253-321-1036
Mailing address:
  • Phone: 253-297-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60626065
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60626065
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: