Shirley's Incorporated

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MA00019252 Issued in WA

Legal business name

SHIRLEY'S INCORPORATED

Doing business as

Impressions

Practice address

27121 174TH PL SE
Covington, WA 98042-4939

Phone

(253) 639-8750

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Miss Dena Cohen, LMP

Title

Director

Phone

(206) 919-0662

Specialties & licenses 1

Addresses

Other names 1

• Impressions Doing business as

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1861641821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14236 SE 202ND ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423040",
            "telephone_number": "206-919-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27121 174TH PL SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424939",
            "telephone_number": "253-639-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-919-0662",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "MA00019252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanyi Shen, DMD
• Caroline Sheppard, LMHC
• Catherine Faith Sherbourne, ADC-II, LICSW
• Sarah Sheu, MD
• Michele Shilley, RN
• Emma Louise Knapp Shover, DPT
• Deborah Shreves
• Destiney Shreves
• Tatyana Sidor, ARNP
• Aleksandr Sinelnyy, LMP

• Health Maintenance Organization in Covington, WA
• Providers in Covington, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.