NPIMap

Organization Active NPI

Shared Support, Inc.

  • Public Health or Welfare Agency
  • Sunbury, PA
National Provider Identifier
1003172925
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
329450 Issued in PA
Legal business name
SHARED SUPPORT, INC.
Practice address
218 Bridge Ave
Sunbury, PA 17801-1006
Phone
(570) 286-4982
Fax
(570) 286-4984
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mrs. Theresa E Pratt
Title
Fiscal Director
Phone
(570) 286-4982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X
Public Health or Welfare Agency 251K00000X 329450 PA Primary

Addresses

Primary practice location

218 Bridge Ave
Sunbury, PA 17801-1006

Mailing address

218 Bridge Ave
Sunbury, PA 17801-1006
Phone (570) 286-4982

Other identifiers 1

IdentifierTypeStateIssuer
101490123MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Shared Support Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1003172925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "570-286-4982",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "329450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101490123",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.