Active NPI
Sharon McClure, MHA, CDN
- Nutritionist
- Astoria, NY
National Provider Identifier
1063663888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 004606-1
- Practice address
- 2534 Steinway St
Astoria, NY 11103-3702 - Phone
- (718) 777-5243
- Fax
- (718) 777-5250
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 004606-1 | NY | Primary |
Addresses
Primary practice location
2534 Steinway St
Astoria, NY 11103-3702
Mailing address
11415 165TH St
Jamaica, NY 11434-1211
Phone (718) 523-7922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004606-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients | |
| Welllife Network Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1063663888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11415 165TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341211",
"telephone_number": "718-523-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 STEINWAY ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033702",
"telephone_number": "718-777-5243",
"fax_number": "718-777-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "SHARON",
"credential": "MHA, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "004606-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.