Sharon M Davern, MSED

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2 Issued in MN

Practice address

1001 14TH St NW
Rochester, MN 55901-2590

Phone

(507) 534-2668

Fax

(507) 540-1290

NPI assigned

Jan 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sharon Davern Msed, LP, LMFT, LLC

  • Marriage & Family Therapist
  • Rochester, MN
  • NPI 1255854568
  NPD (past) Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1144209537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOX RIDGE PT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296876406",
            "telephone_number": "507-534-2668",
            "fax_number": "507-540-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012590",
            "telephone_number": "507-534-2668",
            "fax_number": "507-540-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Heavens View Ln",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378762575",
            "country_code": "US",
            "telephone_number": "507-534-2668",
            "fax_number": "507-540-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVERN",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2103",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "692",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018669000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3K149DA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896350900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Isaac Daum, MD
• Bhoomi Dave, MD
• Priya Dave, MD
• Sachin T Dave, MD
• Seema S Dave, RPH
• David J. Hagstrom LLC
• Carol Marie David, CRNA
• Marie Joanna Davidiak, MSW, LICSW
• Brock Davidson, MD
• Brooklynn Davidson

• Marriage & Family Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.