Active NPI
Sharon L Southwick, FNP
- Family Nurse Practitioner
- Moses Lake, WA
National Provider Identifier
1790932085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60027393
- Practice address
- 801 Wheeler Rd
Emergency Dept
Moses Lake, WA 98837 - Phone
- (509) 765-5606
- NPI assigned
- Aug 19, 2008
- 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 Nurse Practitioner | 363LF0000X | AP60027393 | WA | Primary |
Addresses
Primary practice location
801 Wheeler Rd
Emergency Dept
Moses Lake, WA 98837
Mailing address
1300 W Marina Dr Apt 29
Moses Lake, WA 98837-3923
Phone (509) 431-5847
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssouthwick269701@oc.providencedirect.org |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60027393 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physician Associates PC | Past | Accepting new patients |
Interoperability endpoints
- ssouthwick269701@oc.providencedirect.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.
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1790932085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W MARINA DR APT 29",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988373923",
"telephone_number": "509-431-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WHEELER RD",
"address_2": "EMERGENCY DEPT",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "98837",
"telephone_number": "509-765-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWICK",
"first_name": "SHARON",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60027393",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssouthwick269701@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1001 N Providence Dr",
"city": "Newberg",
"state": "OR",
"country_code": "US",
"postal_code": "971327485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.