Shine Functional Dermatology
NPI 1205593316 · Dermatology Physician · Lincoln, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shine Functional Dermatology is a Dermatology Physician organization in Lincoln, CA (NPI 1205593316).
Provider details
- NPI number
- 1205593316
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathrine Varman, Md/Owner(916) 953-3812
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Integrative Medicine Physician202D00000X
Allopathic & Osteopathic Physicians
- Other Specialist/Technologist246Z00000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Association of Phototherapy Professionals
- Doing business as
- Phototherapy Training Institute
- Doing business as
- Shine Phototherapy Center
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is Shine Functional Dermatology's NPI number?
- Shine Functional Dermatology's National Provider Identifier (NPI) is 1205593316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Functional Dermatology?
- Shine Functional Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shine Functional Dermatology located?
- Shine Functional Dermatology's practice location on file with NPPES is 566 E St, Lincoln, CA 95648-1861.
- What is Shine Functional Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Shine Functional Dermatology is (916) 645-1447.
- Does Shine Functional Dermatology accept Medicare?
- Shine Functional Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shine Functional Dermatology?
- The authorized official listed on Shine Functional Dermatology's NPPES record is Kathrine Varman, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Functional Dermatology's NPI active?
- Yes — Shine Functional Dermatology's NPI (1205593316) is active in the NPPES registry as of the last update on 2023-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.