Individual provider Active NPI

Anne Mary Sharkey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Park, TX
National Provider Identifier
1073740494
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2230 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1073740494MedicaidIN

Other names 1

  • Anne Mary Breuer Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
07001139AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kisa Health PLLC CurrentSince Feb 23, 2025 Accepting new patients
Varni Foot and Ankle Care, PLLC Podiatrist PastSince Mar 5, 2023 Accepting new patients

Locations

1130 Cottonwood Creek Trl
Ste B2
Cedar Park, TX 78613
Phone (512) 553-1771

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.