Sharla Kay Peterson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60016832 Issued in WA

Practice address

6443 NE 181St St
Kenmore, WA 98028-4831

Phone

(425) 424-2100

Fax

(425) 424-2100

NPI assigned

Apr 24, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3875/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carena Medical Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1902935711
  NPD (past)
• Caresimple Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1811376833
  NPD (past)
• Northshore Family Practice PLLC

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1811167620
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1356516009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284831",
            "telephone_number": "425-424-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284831",
            "telephone_number": "425-424-2100",
            "fax_number": "425-424-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHARLA",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60016832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9659376-7110687",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Hasel Perez Alonso
• Pers LLC (SafetyLine)
• Nathan Petersburg, N.D.
• Charina Peterson, RPH
• Jane Ritchie Peterson, LM
• Samantha Pfeiffer, ND
• Hazel A Philp, ND
• Doris Piccinin, M.S. R.D. C.D.E.
• Brianna Allain Piche, N.D.
• Vinai Prakash, D.P.M

• Family Nurse Practitioner in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.