ASSOCIATION OF PHOTOTHERAPY PROFESSIONALS
NPI 1205593316
Dermatology in Lincoln, CA

Active since November 23, 2021
566 E ST, LINCOLN, CA 95648(916) 645-1447(916) 645-1447 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 24, 2023, Mar 3, 2023, Jun 9, 2022 and 1 more (4 updates tracked since 2021).

About Association Of Phototherapy Professionals NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATION OF PHOTOTHERAPY PROFESSIONALS (NPI 1205593316) is a healthcare organization registered as a dermatology in Lincoln, California and active in the NPI registry since November 2021. The organization lists Kathrine M Varman, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1205593316
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSHINE FUNCTIONAL DERMATOLOGY
Location Address566 E STLincoln, CA 95648-1861
Mailing Address566 E StLincoln, CA 95648-1861 · (916) 645-1447 · Fax (866) 502-3465
Fax(916) 645-1447
Organization SubpartNo
Authorized OfficialKathrine M VarmanMd/owner · (916) 953-3812
Enumeration DateNovember 23, 2021
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1205593316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedSpecialist/Technologist, OtherTaxonomy 246Z00000X
566 E ST, Lincoln, CA 95648

Other Names 3

Doing Business AsAssociation Of Phototherapy Professionals
Doing Business AsPhototherapy Training Institute
Doing Business AsShine Phototherapy Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Association Of Phototherapy Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Association Of Phototherapy Professionals, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1780942607
566 E ST
Lincoln, CA 95648
(916) 645-1447
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine Functional Dermatology's NPI number?

The NPI number for Shine Functional Dermatology is 1205593316. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Association Of Phototherapy Professionals, Phototherapy Training Institute and Shine Phototherapy Center.

Where is Shine Functional Dermatology located?

Shine Functional Dermatology is located at 566 E St, Lincoln, CA 95648. The listed phone number is (916) 645-1447.

What is Shine Functional Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shine Functional Dermatology enrolled in Medicare?

Yes. Shine Functional Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Functional Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Shine Functional Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shine Functional Dermatology was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.