Sally Mae Ericksen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60182080 Issued in WA

Practice address

5814 Graham Ave Ste 100
Sumner, WA 98390-2728

Phone

(253) 891-4750

NPI assigned

Sep 1, 2010

Last updated

Nov 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: sericksen55843@direct.multicare.org

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1528375284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 GRAHAM AVE STE 100",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902728",
            "telephone_number": "253-891-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 GRAHAM AVE STE 100",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902728",
            "telephone_number": "253-891-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "SALLY",
        "middle_name": "MAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60182080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Duskin, RN
• Dynacare Northwest Inc
• Rolf Melker Edlund, DDS
• Annbell Edmond
• Jennifer Marie Elton, M.S., LMFT
• Joel Alejandro Estrada
• Bobbie Katherine Fletcher, ARNP
• Molly Jane Ford, ARNP
• Permelia May Foster, CDP
• Jacqueline A Frady, LMP

• Family Nurse Practitioner in Sumner, WA
• Providers in Sumner, 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 Nov 22, 2013; 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.