MEDICARE: SHAWNA OLSON SMITH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN00157415	WA
2	363LF0000X	Family Nurse Practitioner	AP30006893	WA
3	363L00000X	Nurse Practitioner	AP30006893	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00281594	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053307926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA OLSON SMITH ARNP

Provider Business Mailing Address
First Line	:	10024 SE 240TH ST STE 201
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98031-5124
Country	:	US
Telephone Number	:	253-859-2273
Fax Number	:	253-850-8894

Provider Business Practice Location Address
First Line	:	10024 SE 240TH ST STE 201
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98031-5124
Country	:	US
Telephone Number	:	253-859-2273
Fax Number	:	253-850-8894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	03/26/2025

Similar Medicare Providers

1023004611 — ROBERT T SMITHING MSN ARNP
Practice Location Address:

10024 SE 240TH ST , 201
KENT, WA
98031-5124

Practice Phone: 253-859-2273
Practice Fax: 253-850-8894

1932195526 — MADELINE D WILEY MSN ARNP
Practice Location Address:

10024 SE 240TH ST , #201
KENT, WA
98031-5124

Practice Phone: 253-859-2273
Practice Fax: 253-850-8894

1811983653 — MS. LINDA W. CROSSGROVE LMHC
Practice Location Address:

10024 SE 240TH ST , #116
KENT, WA
98031-5124

Practice Phone: 253-852-2250
Practice Fax: 425-255-5712

1447247069 — KATHLEEN F KLEIVER MSN, ARNP
Practice Location Address:

10024 SE 240TH ST , #201
KENT, WA
98031-5124

Practice Phone: 253-859-2273
Practice Fax: 253-850-8894

1265479166 — DR. LEWIS SENG LIM O.D.
Practice Location Address:

10024 SE 240TH ST , STE 220
KENT, WA
98031-5124

Practice Phone: 253-852-5440
Practice Fax: 253-852-0272

1689744500 — DR. VYACHESLAV A BORISENKO D.C.
Practice Location Address:

10024 SE 240TH ST STE 119
KENT, WA
98031-5124

Practice Phone: 253-520-7531
Practice Fax: 253-520-6589

Directions to “ SHAWNA OLSON SMITH ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.