Provider Demographics
NPI:1447223110
Name:BARKER, SHARON I (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:I
Last Name:BARKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 S I ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5016
Mailing Address - Country:US
Mailing Address - Phone:253-274-4545
Mailing Address - Fax:253-274-7993
Practice Address - Street 1:2202 S CEDAR ST STE 330
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2318
Practice Address - Country:US
Practice Address - Phone:253-503-2508
Practice Address - Fax:253-404-0506
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10004373363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0294333OtherL&I
WA8355786Medicaid
WA0173947OtherSTATE L&I
WA1010528Medicaid
0245894OtherL & I
WAG8908871OtherMEDICARE
WAP00773464OtherRAILROAD
G8879295OtherMEDICARE
WAAB34474Medicare PIN
WAG8879296Medicare PIN
WAAB34487Medicare PIN
WAP78836Medicare UPIN