Active NPI
Sonni Erika Simerly, PA-C
- Surgical Physician Assistant
- Seattle, WA
National Provider Identifier
1184982407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60656069
- Practice address
- 801 Broadway
Suite 617
Seattle, WA 98122-4396 - Phone
- (206) 623-0922
- Fax
- (206) 623-1588
- NPI assigned
- Apr 24, 2012
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA157572 | OR | |
| Surgical Physician Assistant | 363AS0400X | PA60656069 | WA | Primary |
Addresses
Primary practice location
801 Broadway
Suite 617
Seattle, WA 98122-4396
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022378 | Medicaid | WA | |
| 383912 | Other | WA | WA LABOR & INDUSTRIES |
| 500645348 | Medicaid | OR |
Other names 1
- Sonni Erika Rychlik
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA157572 | OR | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1184982407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"address_2": "SUITE 617",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224396",
"telephone_number": "206-623-0922",
"fax_number": "206-623-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMERLY",
"first_name": "SONNI",
"middle_name": "ERIKA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA157572",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60656069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022378",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "383912",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500645348",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SONNI",
"last_name": "RYCHLIK",
"middle_name": "ERIKA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.