Individual provider Active NPI

Rie Marie Adriana Sharky, M.D.

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1730576778
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.MD.60837304 Issued in WA
Practice address
4041 Ruston Way Ste 202
Tacoma, WA 98402-5300
Phone
(253) 256-1856
Fax
(253) 761-3288
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.MD.60837304 WA Primary

Addresses

Primary practice location

4041 Ruston Way Ste 202
Tacoma, WA 98402-5300

Mailing address

4041 Ruston Way Ste 202
Tacoma, WA 98402-5300
Phone (253) 256-1856

Other names 1

  • Rie Sharky Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.MD.60837304WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary K. Simonson, MD PLLC CurrentSince Oct 25, 2020 Accepting new patients

Locations

4041 Ruston Way
Ste 202
Tacoma, WA 98402
Phone (253) 693-0022

Interoperability endpoints

  • Direct secure messaging: rsharky37873@direct.seattlechildrens.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1730576778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025300",
            "telephone_number": "253-256-1856",
            "fax_number": "253-761-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025300",
            "telephone_number": "253-256-1856",
            "fax_number": "253-761-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKY",
        "first_name": "RIE",
        "middle_name": "MARIE ADRIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD.MD.60837304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIE",
            "last_name": "SHARKY",
            "credential": "RIE SHARKY, MD, PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.