NICOLE SHACKELFORD (RN) – Home Health Registered Nurse, NPI 1164201414

NICOLE SHACKELFORD (RN) is a healthcare provider. based in University place, Washington. specializing in Home Health Registered Nurse. They hold the professional credentials RN. They hold a License No. RN61245224 (WA). The NPI Number for NICOLE SHACKELFORD (RN) is 1164201414

Main info

Female
Name
NICOLE SHACKELFORD (RN)
NPI
1164201414
Phone
Not provided
Address
4019 ELWOOD DR W
Enumeration Date
26 September 2023
Last Update Date
10 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE SHACKELFORD (RN)

  • 4019 ELWOOD DR W

    UNIVERSITY PLACE, WA 984661525

    Phone:

    Type: Mailing

  • 1313 BROADWAY

    TACOMA, WA 984023400

    Phone: (253) 301-6400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98466)

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Reviews

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Frequently asked questions

Is NICOLE SHACKELFORD (RN) listed with a National Provider Identifier?
Yes — NICOLE SHACKELFORD (RN) has NPI 1164201414 on file in the registry.
Is there an active status for NICOLE SHACKELFORD (RN)?
For scheduling context, NICOLE SHACKELFORD (RN) is shown as active in the registry.
What expertise is attributed to NICOLE SHACKELFORD (RN)?
NICOLE SHACKELFORD (RN)'s specialty line reads Home Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Is NICOLE SHACKELFORD (RN) located near University Place?
NICOLE SHACKELFORD (RN) currently maps to University Place, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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