Individual provider Active NPI

Sheila B. Andrews, OTR L

  • Gerontology Occupational Therapist
  • Poulsbo, WA
National Provider Identifier
1659429975
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT00002603 Issued in WA
Practice address
22321 Treefarm LN NE
Poulsbo, WA 98370-9064
Phone
(360) 930-2141
Fax
(206) 260-2992
NPI assigned
Jan 5, 2007
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT00002603 WA
Pediatric Occupational Therapist 225XP0200X OT00002603 WA
Gerontology Occupational Therapist 225XG0600X OT00002603 WA Primary

Addresses

Primary practice location

22321 Treefarm LN NE
Poulsbo, WA 98370-9064

Mailing address

22321 Treefarm LN NE
Poulsbo, WA 98370-9064
Phone (360) 930-2141

Other practice location 1

5112 NW Taylor Rd
Bremerton, WA 98312-8837
Phone (360) 373-2536

Other names 1

  • Ms. Sheila B. McCartin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001558 WA Practitioner - Occupational Therapist in Private Practice 9234530163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila Andrews Inc Single Specialty CurrentSince Dec 16, 2023 Accepting new patients
Holly Ridge Center Pediatrics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1659429975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22321 TREEFARM LN NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709064",
            "telephone_number": "360-930-2141",
            "fax_number": "206-260-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22321 TREEFARM LN NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709064",
            "telephone_number": "360-930-2141",
            "fax_number": "206-260-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 NW Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983128837",
            "country_code": "US",
            "telephone_number": "360-373-2536",
            "fax_number": "360-373-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SHEILA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002603",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00002603",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "OT00002603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MCCARTIN",
            "middle_name": "B.",
            "prefix": "MS.",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.