Active NPI
Melissa Lavon Sharp, PAC
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1508085689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60120054
- Practice address
- 2202 S Cedar St Ste 330
Tacoma, WA 98405-2318 - Phone
- (253) 272-5127
- Fax
- (253) 272-0811
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60120054 | WA | Primary |
| Physician Assistant | 363A00000X | PA19038 | CA |
Addresses
Primary practice location
2202 S Cedar St Ste 330
Tacoma, WA 98405-2318
Mailing address
2202 S Cedar St Ste 330
Tacoma, WA 98405-2318
Phone (253) 272-5127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8902484 | Other | WA | MEDICARE PTAN (KING) |
| G8902483 | Other | WA | MEDICARE PTAN (PIERCE) |
Other names 1
- Melissa Lavon Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19038 | CA | MD | Physician Assistant |
| PA60120054 | WA | MD | Physician Assistant |
| 19038 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1508085689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 S CEDAR ST STE 330",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052318",
"telephone_number": "253-272-5127",
"fax_number": "253-272-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 S CEDAR ST STE 330",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052318",
"telephone_number": "253-272-5127",
"fax_number": "253-272-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "MELISSA",
"middle_name": "LAVON",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60120054",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19038",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (KING)",
"identifier": "G8902484",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (PIERCE)",
"identifier": "G8902483",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HARRIS",
"middle_name": "LAVON",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.