NPI age
19 years
Enumerated 2006-08-30
● Active
Type 1 · Individual
Shannon C. Thistle, PA-C
Thistle is 1 of 72 physician assistant providers in Coeur D Alene and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, WA, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
3 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
700 W Ironwood Dr Ste 320
Coeur D Alene, ID 838144485
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1201 S Miller St
Wenatchee, WA 988013201
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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