Active NPI
Anne Mary Sharkey, DPM
- Foot & Ankle Surgery Podiatrist
- Cedar Park, TX
National Provider Identifier
1073740494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2230
- Practice address
- 1130 Cottonwood Creek TRL BLDG B
Cedar Park, TX 78613-7861 - Phone
- (512) 593-2949
- Fax
- (512) 528-8506
- NPI assigned
- Jun 11, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001139A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2230 | TX | Primary |
Addresses
Primary practice location
1130 Cottonwood Creek TRL BLDG B
Cedar Park, TX 78613-7861
Mailing address
1130 Cottonwood Creek TRL Ste B2
Cedar Park, TX 78613-7862
Phone (512) 593-2949
Other practice location 1
301 Seton Pkwy Ste 305
Round Rock, TX 78665-8003
Phone (512) 960-4290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073740494 | Medicaid | IN |
Other names 1
- Anne Mary Breuer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 5, 2024 through Nov 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001139A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kisa Health PLLC | Current | Accepting new patients | |
| Varni Foot and Ankle Care, PLLC | Podiatrist | Past | Accepting new patients |
Locations
1130 Cottonwood Creek Trl
Ste B2
Cedar Park, TX 78613
Phone (512) 553-1771
Interoperability endpoints
- anne.sharkey.1@8494.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1952106973
-
- Podiatrist
- Round Rock, TX
- NPI 1629620380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073740494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 COTTONWOOD CREEK TRL STE B2",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137862",
"telephone_number": "512-593-2949",
"fax_number": "512-528-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 COTTONWOOD CREEK TRL BLDG B",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137861",
"telephone_number": "512-593-2949",
"fax_number": "512-528-8506"
}
],
"practiceLocations": [
{
"address_1": "301 Seton Pkwy Ste 305",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786658003",
"country_code": "US",
"telephone_number": "512-960-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARKEY",
"first_name": "ANNE",
"middle_name": "MARY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001139A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073740494",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "BREUER",
"middle_name": "MARY",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.