Individual provider Active NPI

Sharon L Harper, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Playa Vista, CA
National Provider Identifier
1093856882
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95000033 Issued in CA
Practice address
6565 Crescent Park W Apt 123
Playa Vista, CA 90094-2285
Phone
(310) 902-6211
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95000033 CA Primary

Addresses

Primary practice location

6565 Crescent Park W Apt 123
Playa Vista, CA 90094-2285

Mailing address

6565 Crescent Park W Apt 123
Playa Vista, CA 90094-2285
Phone (310) 902-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240210000182 PA Practitioner - Nurse Practitioner 6103724653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5501 Chestnut St
Philadelphia, PA 19139-3205
Phone 21559681001057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Phila Community Mental Health Consortium, Inc. Single Specialty Current Accepting new patients
West Philadelphia Community MH Consortium Inc. CurrentSince Dec 12, 2023 Accepting new patients
Srisai Gowda MD LLC Single Specialty PastSince Jun 1, 2020 Accepting new patients

Locations

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

2821 Island Ave
#106
Philadelphia, PA 19153

5501 Chestnut St
Philadelphia, PA 19139
Phone (215) 748-8400

3751 Island Ave
Ste 303
Philadelphia, PA 19153

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1093856882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 CRESCENT PARK W APT 123",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942285",
            "telephone_number": "310-902-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 CRESCENT PARK W APT 123",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942285",
            "telephone_number": "310-902-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

Verify at the official NPI Registry.