Active NPI
Sharon Eillen Karn, LMP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1093848616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00001572
- Practice address
- 6505 Highland Dr
Vancouver, WA 98661-7636 - Phone
- (360) 694-7332
- Fax
- (360) 694-4024
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00001572 | WA | Primary |
| Physical Therapy Assistant | 225200000X | P1 60033083 | WA | |
| Physical Therapy Assistant | 225200000X | 8487 | OR |
Addresses
Primary practice location
6505 Highland Dr
Vancouver, WA 98661-7636
Mailing address
6505 Highland Dr
Vancouver, WA 98661-7636
Phone (360) 694-7332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8487 | OR | MD | Pharmacist |
| P1 60033083 | WA | MD | Physical Therapy Assistant |
| MA00001572 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1093848616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 HIGHLAND DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617636",
"telephone_number": "360-694-7332",
"fax_number": "360-694-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 HIGHLAND DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617636",
"telephone_number": "360-694-7332",
"fax_number": "360-694-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARN",
"first_name": "SHARON",
"middle_name": "EILLEN",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00001572",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P1 60033083",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.