Sharisse Lin Ivory, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11028060 Issued in FL

Practice address

835 Oakley Seaver Dr
Clermont, FL 34711-1968

Phone

(352) 241-9282

Fax

(352) 241-4282

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharisse Lin Parks, Lanier, Deshong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Serenity Health Center PA

  • Adult Mental Health Clinic/Center
  • Clermont, FL
  • NPI 1568630879
  NPD
• Neuropsychiatry Centers LLC

  • Clinical Neuropsychologist
  • Lady Lake, FL
  • NPI 1215483516
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1063195253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-241-9282",
            "fax_number": "352-241-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-241-9282",
            "fax_number": "352-241-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "SHARISSE",
        "middle_name": "LIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARISSE",
            "last_name": "PARKS, LANIER, DESHONG",
            "middle_name": "LIN",
            "credential": "RN, CRT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Isaacs, ARNP
• Kaela Ishmael
• Nancy Isidor
• Demetrius Isom
• Leah Isom, LMHC
• Meera Gopal Iyengar, MD
• Vasundhara G Iyengar, M. D.
• J & J Pathways Inc
• David H Jablonski, M.D.
• Arlene P Jackman

• Psychiatric/Mental Health Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.