Active NPI
Sharon Lim, CNS
- Nutritionist
- San Jose, CA
National Provider Identifier
1124607924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 18041
- Practice address
- 2514 Glen Dundee Way
San Jose, CA 95148-4134 - Phone
- (408) 905-6052
- NPI assigned
- Apr 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Nutritionist | 133N00000X | 18041 | CA | Primary |
Addresses
Primary practice location
2514 Glen Dundee Way
San Jose, CA 95148-4134
Mailing address
2535 Remy Javier CT
Tracy, CA 95377-7991
Phone (408) 905-6052
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://my.practicebetter.io/#/5e4594532a832607c453f30a/profile | Health Information Exchange (HIE) |
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18041 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- New York, NY
- NPI 1760825160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1124607924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 REMY JAVIER CT",
"city": "TRACY",
"state": "CA",
"postal_code": "953777991",
"telephone_number": "408-905-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 GLEN DUNDEE WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951484134",
"telephone_number": "408-905-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "SHARON",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "18041",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://my.practicebetter.io/#/5e4594532a832607c453f30a/profile",
"affiliation": "N",
"endpointDescription": "WEBPAGE, CONTACT LINK",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2514 Glen Dundee Way",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951484134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.