Individual provider Active NPI

Sharaya Hundeby, ARNP

  • Family Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1972372902
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61502490 Issued in WA
Practice address
1555 Ontario St
Sandpoint, ID 83864-1786
Phone
(209) 597-7910
NPI assigned
Jan 2, 2024
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61502490 WA Primary

Addresses

Primary practice location

1555 Ontario St
Sandpoint, ID 83864-1786

Mailing address

1555 Ontario St
Sandpoint, ID 83864-1786
Phone (208) 597-7910

Other names 1

  • Sharaya Simons Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219003934 WA Practitioner - Nurse Practitioner 2860836756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

546 N Jefferson LN
Suite 100
Spokane, WA 99201-7104
Phone (509) 624-0111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61502490WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Apr 1, 2024 Accepting new patients
Alpine Family Medicine CurrentSince Sep 1, 2026 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 1, 2024 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1555 Ontario St
Sandpoint, ID 83864
Phone (208) 597-7910

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

546 N Jefferson Ln
Spokane, WA 99201
Phone (509) 290-6406

546 N Jefferson Ln
Ste 100
Spokane, WA 99201
Phone (509) 624-0111

Interoperability endpoints

  • Direct secure messaging: ssimons489184@wm.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1972372902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "208-597-7910",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "209-597-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDEBY",
        "first_name": "SHARAYA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61502490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARAYA",
            "last_name": "SIMONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.