Active NPI
Sharman Elizabeth Ober-Reynolds, MSN, FNP, CCRP
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1124531330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 067584
- Practice address
- 2225 N 16TH St
Phoenix, AZ 85006-1823 - Phone
- (602) 218-8225
- Fax
- (602) 340-8720
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 067584 | AZ | Primary |
Addresses
Primary practice location
2225 N 16TH St
Phoenix, AZ 85006-1823
Mailing address
300 N 18TH St
Phoenix, AZ 85006-4103
Phone (602) 218-8225
Other names 1
- Sharman Elizabeth Weston
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | soberreynolds567786@direct.med.utah.edu | Direct | University of Utah |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067584 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Autism Research and Resource Center | Past | Accepting new patients | |
| Southwest Autism Research and Resource Center | Past | Accepting new patients |
Interoperability endpoints
- soberreynolds567786@direct.med.utah.edu
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.
-
- Psychologist
- Phoenix, AZ
- NPI 1750150942
-
- Behavior Analyst
- Phoenix, AZ
- NPI 1821666439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1124531330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064103",
"telephone_number": "602-218-8225",
"fax_number": "602-340-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061823",
"telephone_number": "602-218-8225",
"fax_number": "602-340-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBER-REYNOLDS",
"first_name": "SHARMAN",
"middle_name": "ELIZABETH",
"credential": "MSN, FNP, CCRP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "067584",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "soberreynolds567786@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHARMAN",
"last_name": "WESTON",
"middle_name": "ELIZABETH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.