Sherice Renee Mathers, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00023932 Issued in WA

Practice address

145 Lilly Rd NE
Suite 101
Olympia, WA 98506-5028

Phone

(360) 880-1809

Fax

(360) 864-8879

NPI assigned

Jul 20, 2007

Last updated

May 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Sherice Renee Holdt Former name

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1912107590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 EVANS RD",
            "city": "TOLEDO",
            "state": "WA",
            "postal_code": "985919515",
            "telephone_number": "360-880-1809",
            "fax_number": "360-864-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LILLY RD NE",
            "address_2": "SUITE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-880-1809",
            "fax_number": "360-864-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "SHERICE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHERICE'S MASSAGE",
            "identifier": "603272625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERICE",
            "last_name": "HOLDT",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aarshdeep Singh Masson
• James Robert Masson, PH.D.
• Gavin McCoy Mast
• Analeis Masters, MS RDN CD ACSM CEP
• Jessica Mather, GC
• Janat Mathew, OD
• Brandon Mathews
• Michael L Matlock, M.D.
• Rodney Shigeo Matsubara, M.D.
• Benjamin Craig Matthews, ARNP

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.