Active NPI
Griselle Sherman, M.D.
- Pediatrics Physician
- Tacoma, WA
National Provider Identifier
1831165547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J1135
- Practice address
- BLDG 9040 Jackson Avenue
Tacoma, WA 98431-5109 - Phone
- (253) 968-5068
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J1135 | TX | Primary |
Addresses
Primary practice location
BLDG 9040 Jackson Avenue
Tacoma, WA 98431-5109
Mailing address
11610 Terry Lake Rd SW
Lakewood, WA 98498-2714
Phone (917) 445-8260
Other names 1
- Dr. Griselle Ayala-Colon
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1135 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1831165547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11610 TERRY LAKE RD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984982714",
"telephone_number": "917-445-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 9040 JACKSON AVENUE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315109",
"telephone_number": "253-968-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "GRISELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J1135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRISELLE",
"last_name": "AYALA-COLON",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former 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 Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.