Individual provider Active NPI

Sheridan Joseph, MD

  • Dermatology Physician
  • Spokane Valley, WA
National Provider Identifier
1407506975
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD70115869 Issued in WA
Practice address
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone
(509) 456-7414
Fax
(509) 624-0763
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 8981406 ID
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X MD70115869 WA Primary

Addresses

Primary practice location

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

Mailing address

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone (509) 456-7414

Other practice location 1

1700 W Riverstone Dr
Coeur D Alene, ID 83814-5683
Phone (208) 770-2822

Other practice location 2

5905 N Mayfair St
Spokane, WA 99208-1127
Phone (509) 456-7414

Other practice location 3

3010 S Southeast Blvd
Spokane, WA 99223-3541
Phone (509) 456-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000944 VT Order and Referring Only - DermatologyPractitioner - Dermatology 7719365873

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1407506975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838145683",
            "country_code": "US",
            "telephone_number": "208-770-2822",
            "fax_number": "208-770-2911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5905 N Mayfair St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081127",
            "country_code": "US",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 S Southeast Blvd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992233541",
            "country_code": "US",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SHERIDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "ID",
            "license": "8981406",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD70115869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.