Mollie Marie Sharp, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60782636 Issued in WA

Practice address

22717 SE 29TH St Ste D-101
Sammamish, WA 98075

Phone

(425) 269-3277

Fax

(425) 968-1274

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mollie McDaniel Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msharp1150592@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Washington

  • Family Medicine Physician
  • Snohomish, WA
  • NPI 1982855375
  NPD
• Centered Mind Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sammamish, WA
  • NPI 1124614680

  Psychiatric/Mental Health

  NPD (past)
• Northpoint Washington LLC

  • Substance Abuse Rehabilitation Facility
  • Edmonds, WA
  • NPI 1891292900
  NPD (past)

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1558752170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D-101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759532",
            "telephone_number": "425-269-3277",
            "fax_number": "425-968-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D-101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98075",
            "telephone_number": "425-269-3277",
            "fax_number": "425-968-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10526 NE 68th Street, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "98033",
            "country_code": "US",
            "telephone_number": "425-947-1303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22717 SE 29th St Ste D-101",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "98075",
            "country_code": "US",
            "telephone_number": "425-269-3277",
            "fax_number": "425-968-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "MOLLIE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60276437",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60782636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msharp1150592@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1330 Rockefeller Ave Ste 140",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "MCDANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Asha Sethu Madhavan, D.D.S.
• Seven Scions LLC
• Asma Said Sheikh, PHARMD
• Anthony Alan Sherwood, DPT
• Fangying Stephanie Shi, PHD
• Natalya Shilova, RN
• Nathan Shin, LMHCA

• Psychiatric/Mental Health Nurse Practitioner in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.