Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shannon Ursula Waterman, MD

General Practice Physician in Tacoma, WA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649279860

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Registry record

Entity type Individual (Type 1)

Name Shannon Ursula Waterman

Credential MD

Sex Female

Practice address 11225 Pacific Avenue, Parkland Clinic Community Healthcare, Tacoma, WA, 98444

Phone (253) 536-2020

Fax (253) 536-5327

Enumeration date Jul 19, 2005

Last updated in NPPES Aug 5, 2009

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 025209MD00041909 (WA) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License MD00041919 (WA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
8505422	Medicaid	WA	-
41383885	Medicaid	NM	-
P00707652	Other	-	MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Shannon Waterman?

Shannon Waterman is registered in NPPES with the primary taxonomy of General Practice Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Carri Timmer Family Medicine Physician · Tacoma, WA NPI 1033344791

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-05.