Barbara J Sherry, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10002341 Issued in WA

Practice address

150 Dennis St SW
Tumwater, WA 98501-5459

Phone

(360) 754-6367

NPI assigned

May 10, 2006

Last updated

Dec 2, 2016By 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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2876/brand/1/csg/201/fhir/r4

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.

• Capital Medical Center Physicians LLC

  dba Olympia Family Medicine

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283
  Medicare reassignment
• Tumwater Family Practice Clinic

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1881638559
  Medicare reassignment
• Capital Medical Center Physicians LLC

  dba Tumwater Family Practice Clinic by MultiCare

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1568229540
  NPD
• Capital Medical Center Physicians LLC

  dba Montesano Internal Medicine by MultiCare

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Gastroenterology Associates, PLLC

  • Gastroenterology Physician
  • Olympia, WA
  • NPI 1437102167
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1669422986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10002341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025519",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "190051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari L Aldrich Massage Therapy Corporation (Cascadia360 Massage & Wellness)
• Hailey Ann Shelton, MS
• Lalani Shelton, P.T.
• Rose Eleanor Shepherd, L.M.P.
• Keara Sheppard, LMHC
• John Junji Shingu, DDS
• Tyler Jacob Shrofe
• Maya Rose Siemers
• Ajalon Silva
• Danielle M Simpson, O.D.

• Medical Physician Assistant in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.