Active NPI
Shabnam Barnhart, M.D.
- Pediatrics Physician
- Puyallup, WA
National Provider Identifier
1851368575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60097558
- Practice address
- 1706 S. Meridian
Suite 130
Puyallup, WA 97371 - Phone
- (253) 848-8797
- Fax
- (253) 845-0100
- NPI assigned
- Mar 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45513 | MN | |
| Pediatrics Physician | 208000000X | MD60097558 | WA | Primary |
Addresses
Primary practice location
1706 S. Meridian
Suite 130
Puyallup, WA 97371
Mailing address
11102 Sunrise Blvd E
Suite 103
Puyallup, WA 98374
Phone (253) 848-8797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003790 | Medicaid | WA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60097558 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Pediatrics | Past | Accepting new patients |
| Partners in Pediatrics, LTD. | Pediatrics | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
11102 Sunrise Blvd E
Ste 103
Puyallup, WA 98374
Phone (253) 848-8797
Organizations & group practices 7
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.
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- Family Medicine Physician
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- NPI 1811949928
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- Family Medicine Physician
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- NPI 1013969195
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- Pediatrics Physician
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- NPI 1700396652
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- Pediatrics Physician
- Maple Grove, MN
- NPI 1487604104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1851368575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11102 SUNRISE BLVD E",
"address_2": "SUITE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98374",
"telephone_number": "253-848-8797",
"fax_number": "253-845-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S. MERIDIAN",
"address_2": "SUITE 130",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "97371",
"telephone_number": "253-848-8797",
"fax_number": "253-845-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNHART",
"first_name": "SHABNAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "45513",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60097558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003790",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.