Active NPI
Sheila Rae Maher, P.A.-C.
- Medical Physician Assistant
- Normandy Park, WA
National Provider Identifier
1609199850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60055291
- Practice address
- 18118 6TH Ave SW
Normandy Park, WA 98166-3726 - Phone
- (541) 778-2454
- NPI assigned
- Mar 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60055291 | WA | |
| Medical Physician Assistant | 363AM0700X | PA60055291 | WA | Primary |
| Physician Assistant | 363A00000X | PA20869 | CA |
Addresses
Primary practice location
18118 6TH Ave SW
Normandy Park, WA 98166-3726
Mailing address
18118 6TH Ave SW
Normandy Park, WA 98166-3726
Phone (541) 778-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
Organizations & group practices 18
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1609199850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18118 6TH AVE SW",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981663726",
"telephone_number": "541-778-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18118 6TH AVE SW",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981663726",
"telephone_number": "541-778-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "SHEILA",
"middle_name": "RAE",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60055291",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60055291",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.