Active NPI
Sherri Lynn Giragosian, PA-C
- Surgical Physician Assistant
- Everett, WA
National Provider Identifier
1093757361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA10003353
- Practice address
- 11020 19TH Ave SE
Everett, WA 98208-5155 - Phone
- (800) 722-3009
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003353 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA10003353 | WA | Primary |
Addresses
Primary practice location
11020 19TH Ave SE
Everett, WA 98208-5155
Mailing address
11020 19TH Ave SE
Everett, WA 98208-5155
Phone (800) 722-3009
Other practice location 1
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
Other practice location 2
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2586
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7001 | CA | MD | Acupuncturist |
| PA10003353 | WA | MD | Physician Assistant |
Interoperability endpoints
- sgiragosian179283@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1093757361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085155",
"telephone_number": "800-722-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085155",
"telephone_number": "800-722-3009"
}
],
"practiceLocations": [
{
"address_1": "2930 Maple St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013832",
"country_code": "US",
"telephone_number": "425-261-1500",
"fax_number": "425-261-1515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744127",
"country_code": "US",
"telephone_number": "360-428-2586",
"fax_number": "360-428-6470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRAGOSIAN",
"first_name": "SHERRI",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003353",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA10003353",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11020 19th Ave SE",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982085155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.