Individual provider Active NPI

Sharon S. Remagen, LMP

  • Specialist
  • Spanaway, WA
National Provider Identifier
1356541171
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA #00008797 Issued in WA
Practice address
18204 B St E
Spanaway, WA 98387-8355
Phone
(253) 846-5090
Fax
(253) 847-7155
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA #00008797 WA
Specialist 174400000X MA #00008797 WA Primary

Addresses

Primary practice location

18204 B St E
Spanaway, WA 98387-8355

Mailing address

18204 B St E
Spanaway, WA 98387-8355
Phone (253) 846-5090

Other identifiers 1

IdentifierTypeStateIssuer
110433OtherWALABOR AND INDUSTRIES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA #00008797WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1356541171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18204 B ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878355",
            "telephone_number": "253-846-5090",
            "fax_number": "253-846-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18204 B ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878355",
            "telephone_number": "253-846-5090",
            "fax_number": "253-847-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMAGEN",
        "first_name": "SHARON",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA #00008797",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA #00008797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "110433",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.