Shayde Fickett

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

600 Royal St Ste D
Kelso, WA 98626-1167

Phone

(360) 423-1509

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1124863030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 3RD AVE SW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986118113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROYAL ST STE D",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261167",
            "telephone_number": "360-423-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKETT",
        "first_name": "SHAYDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginnette Erb, DNP-FNP-C
• Gregory Ernest Erbes, SUDP
• Andrew Erickson, PHARMD, RPH
• Cameron J Evans, MD
• Katlynn Feagans
• Jayme Fisher
• Martha Moreno Flock
• Karyn Foster
• Aimee Francisco, SUDPT
• Frank a Garner M.D.

• Adult Companion in Kelso, WA
• Providers in Kelso, WA by specialty
• Adult Companion in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.