Active NPI
Tina Shereen, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00043759
- Practice address
- 2101 E Yesler Way # 210
Seattle, WA 98122-5959 - Phone
- (206) 299-1937
- NPI assigned
- Aug 26, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00043759 | WA | Primary |
Addresses
Primary practice location
2101 E Yesler Way # 210
Seattle, WA 98122-5959
Mailing address
2101 E Yesler Way # 210
Seattle, WA 98122-5959
Phone (206) 299-1937
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Phone (206) 299-1900
500 19TH Ave E
Seattle, WA 98112-4007
Phone (208) 299-1600
Hospital & facility affiliations
- Swedish Medical Center
- Swedish Medical Center / Cherry Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Roots Community Health | Current | Accepting new patients | |
| Seattle Roots Community Health | Family Medicine | Current | Accepting new patients |
| Seattle Roots Community Health | Family Medicine | Current | Accepting new patients |
| Seattle Roots Community Health | Past | Accepting new patients |
Locations
2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937
500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600
2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900
301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190
Interoperability endpoints
- tshereen272593@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1972623189
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1164642278
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1891343075
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1497189773
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1760475511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY # 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-299-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY # 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-299-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEREEN",
"first_name": "TINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00043759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.