Sherry Lynn Hawthorne

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB60773255 Issued in WA

Practice address

1616 Cornwall Ave Ste 100
Bellingham, WA 98225-4642

Phone

(360) 305-3275

Fax

(360) 305-3275

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1891212502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINDWARD DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297948",
            "telephone_number": "858-205-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254642",
            "telephone_number": "360-305-3275",
            "fax_number": "360-305-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60773255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB60773255",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony James Havens Jr., DC
• Heather Juline Hawk, NP
• Crystal E Hawkins
• Jordana Winn Hawkins, MD
• Tyson J. Hawkins, M.D.
• Andrew Hay, OTR/L
• Vanessa Haycock, LMP
• Charissa Hayes, AAC
• Sandra M Hayner, PT
• Sheryl Lynn Haynes

• Behavior Technician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.