Active NPI
Vivian H Sharp, PA-C
- Physician Assistant
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60118140
- Practice address
- 1703 S Meridian Ste 305
Puyallup, WA 98371-7590 - Phone
- (253) 841-3933
- Fax
- (253) 848-7970
- NPI assigned
- Feb 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60118140 | WA | Primary |
Addresses
Primary practice location
1703 S Meridian Ste 305
Puyallup, WA 98371-7590
Mailing address
1703 S Meridian Ste 305
Puyallup, WA 98371-7590
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 S Meridian
Puyallup, WA 98371-7590
Phone (253) 841-3933
17700 SE 272ND St
Suite 420
Kent, WA 98042-4951
Phone (253) 639-9660
1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633
33915 1St Way S
Federal Way, WA 98003-6396
Phone (253) 838-9839
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60118140 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Physician Assistant | Past | Accepting new patients |
Locations
2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
11216 Sunrise Blvd E
Ste 3-207
Puyallup, WA 98374
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Physician Assistant
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1245265826
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1568794543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 S MERIDIAN STE 305",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 S MERIDIAN STE 305",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717590",
"telephone_number": "253-841-3933",
"fax_number": "253-848-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "VIVIAN",
"middle_name": "H",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60118140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.