Sharon Broberg

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60611332 Issued in WA

Practice address

300 S 18TH St
Mount Vernon, WA 98274-4661

Phone

(360) 424-1320

NPI assigned

Dec 14, 2015

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

State licenses

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1285009472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 193RD AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918074",
            "telephone_number": "253-862-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 18TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744661",
            "telephone_number": "360-424-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60611332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Marie Brigham, MA00013095
• Oscar J. Briseno Jr., MD
• Abigail Dawn Britanyak, ARNP
• Charles Morrison Britt, M.A., L.M.F.T.
• Bailey Broadhead
• Walter Brodie, RN BSN
• Brent William Brooks, DDS MS
• Amanda Brosell, M.A., CCC-SLP
• Brown & Cole Stores LLC
• Andy Stanley Brown II

• Occupational Therapy Assistant in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.