Individual provider Active NPI

Sharon J Sormrud, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Eau Claire, WI
National Provider Identifier
1083995898
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16246-130 Issued in WI
Practice address
2000 N Oxford Ave
Eau Claire, WI 54703-5184
Phone
(715) 834-1078
Fax
(715) 834-1218
NPI assigned
Sep 7, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16246-130 WI Primary

Addresses

Primary practice location

2000 N Oxford Ave
Eau Claire, WI 54703-5184

Mailing address

2000 N Oxford Ave
Eau Claire, WI 54703-5184
Phone (715) 834-1078

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

State licenses

LicenseStateTypeSpecialty
16246-130WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1083995898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035184",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035184",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORMRUD",
        "first_name": "SHARON",
        "middle_name": "J",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16246-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.