Sam Lynn Shearman, SUDT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60912418 Issued in WA

Practice address

1230 Monitor St
Wenatchee, WA 98801-3534

Phone

(509) 232-5766

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Chehalis, WA
  • NPI 1598123226
  NPD (past)
• American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
  • NPI 1962991661
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1346883063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161027",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONITOR ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013534",
            "telephone_number": "509-232-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARMAN",
        "first_name": "SAM",
        "middle_name": "LYNN",
        "credential": "SUDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60912418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Makrina Shanbour, MD
• Benjamin Sharples, PHARMD
• Amie Shattuck, CNP
• Jason Shattuck, M.D.
• Jared Shea, RN
• Abigail Marie Shepherd Beyenberg, PHD
• Gabrielle Sherer, M.S., R.D.N.
• Christi Lynn Sherman, D.O.
• Tyler A Sherman, D.O.
• Kenneth Shermer, MD

• Addiction (Substance Use Disorder) Counselor in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.