Individual provider Active NPI

Sharon Penny Lynne Ishihara, PMH NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1144544867
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60697095 Issued in WA
Practice address
2508 Wheaton Way
Bremerton, WA 98310-3303
Phone
(360) 377-3776
Fax
(360) 373-2093
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP60697095 WA Primary

Addresses

Primary practice location

2508 Wheaton Way
Bremerton, WA 98310-3303

Mailing address

PO Box 960
Bremerton, WA 98337-0212
Phone (360) 475-3712

Other practice location 1

3311 N 44th Street
Suite 100
Phoenix, AZ 85018
Phone (602) 957-2220 ext. 4480

Other identifiers 2

IdentifierTypeStateIssuer
Z144803OtherAZMEDICARE PTAN
Z144804OtherAZMEDICARE PTAN

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Western Psychological and Counseling Services LLC Past Accepting new patients
Horizon Health and Wellness, Inc. Past 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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144544867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983370212",
            "telephone_number": "360-475-3712",
            "fax_number": "360-373-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-377-3776",
            "fax_number": "360-373-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 N 44th Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85018",
            "country_code": "US",
            "telephone_number": "602-957-2220 x4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHIHARA",
        "first_name": "SHARON",
        "middle_name": "PENNY LYNNE",
        "credential": "PMH NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60697095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z144803",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z144804",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.