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

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.

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Practice location Address checks out

11225 Pacific Avenue Parkland Clinic Community Healthcare
Tacoma, WA 98444 Not confirmed with CMS for 17 years — call before visiting
Phone: (253) 536-2020
Fax: (253) 536-5327
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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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients65
Services billed 141 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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