SHYTAN L. BOSTOCK – NPI #1295692960
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

SHYTAN BOSTOCK is a peer specialist located in OLYMPIA, WA. NPPES has assigned the NPI number 1295692960 to SHYTAN BOSTOCK on January 06, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for SHYTAN BOSTOCK below.

NPI Profile for
SHYTAN L. BOSTOCK

NPI Number
1295692960
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHYTAN L. BOSTOCK
Primary location
402 YAUGER WAY SW
OLYMPIA, WA 98502-8660
Phone: (360) 764-6380 Fax:
Mailing address
3138 OVERHULSE RD NW APT 73
OLYMPIA, WA 98502-3854
Phone: (360) 890-5835 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.