Individual provider Active NPI

Sharon K Clifner, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, WA
National Provider Identifier
1134547896
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP 60453137 Issued in WA
Practice address
21528 87TH Ave NE
Arlington, WA 98223-5035
Phone
(360) 433-0779
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP 60453137 WA Primary

Addresses

Primary practice location

21528 87TH Ave NE
Arlington, WA 98223-5035

Mailing address

104 S Olympic Ave Ste 106
Arlington, WA 98223-1569
Phone (509) 885-7258

Other practice location 1

3402 173rd Pl NE Ste 201
Arlington, WA 98223-8497
Phone (509) 885-7258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP 60453137WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Clifner Pmhnp PLLC Psychiatric/Mental Health CurrentSince Mar 26, 2023 Accepting new patients
Professional Consultation Services Past Accepting new patients
Rosemarie McKee, Licsw, LLC PastSince Apr 1, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1134547896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S OLYMPIC AVE STE 106",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231569",
            "telephone_number": "509-885-7258",
            "fax_number": "866-667-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21528 87TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235035",
            "telephone_number": "360-433-0779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 173rd Pl NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982238497",
            "country_code": "US",
            "telephone_number": "509-885-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFNER",
        "first_name": "SHARON",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP 60453137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.