Individual provider Active NPI

Jayna Lynn Sharpley, RN

  • Registered Nurse
  • Grass Lake, MI
National Provider Identifier
1063828283
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704186463 Issued in MI
Practice address
4757 Willis Rd Apt 2
Grass Lake, MI 49240-9684
Phone
(517) 438-0032
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704186463 MI Primary
Registered Nurse 163W00000X RN9356053 FL

Addresses

Primary practice location

4757 Willis Rd Apt 2
Grass Lake, MI 49240-9684

Mailing address

4757 Willis Rd Apt 2
Grass Lake, MI 49240-9684
Phone (517) 438-0032

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9356053FLMDRegistered Nurse
4704186463MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1063828283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 WILLIS RD APT 2",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409684",
            "telephone_number": "517-438-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 WILLIS RD APT 2",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409684",
            "telephone_number": "517-438-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPLEY",
        "first_name": "JAYNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704186463",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9356053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.