Shera Jean Clark

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

235 S 3Rd St
Shelton, WA 98584-2255

Phone

(360) 426-0890

Fax

(360) 426-4688

NPI assigned

Aug 22, 2019

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 names 1

• Shera Jean Needham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1437706686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840401",
            "telephone_number": "360-545-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 3RD ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842255",
            "telephone_number": "360-426-0890",
            "fax_number": "360-426-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHERA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERA",
            "last_name": "NEEDHAM",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robbie Chandler
• Anne-Marie Chapman, MS, CCC-SLP
• Brittany Chiasson
• Carolyn Ann Choma, MA
• Joan Gary Clark, M.A., LMHC
• John Clayton, D.O.
• Milonna Close, LMHC
• Sefina Marie Coffee
• Annella Mae Coffman, ARNP
• Ayanna Justine Cole

• Case Management Agency in Shelton, WA
• Providers in Shelton, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.