Sharalyn Shafer, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

361222

Practice address

1805 SE Salmonberry Rd
Port Orchard, WA 98366-5922

Phone

(509) 906-2486

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

Yes

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1194537308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 STEAMBOAT LOOP E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664833",
            "telephone_number": "509-906-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SE SALMONBERRY RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665922",
            "telephone_number": "509-906-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "SHARALYN",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "361222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pook Prawatcharoenwit Scott, PRACTITIONER
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• Hunter Hutchison Severt, PTA
• April Marie Shannon, RN, BSN
• Meghan Shaw, DPT
• Amanda Jo Shelhamer, ARNP
• Trevontez Kayoni Sherfick
• Michelle Deanne Sherman, RPH

• Lactation Consultant (Non-RN) in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Lactation Consultant (Non-RN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.