Active NPI
Sharon Lynn Leventhal, APRN
- Adult Health Nurse Practitioner
- Palm Coast, FL
National Provider Identifier
1144793696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN1952402
- Practice address
- 21 Hospital Dr Ste 280
Palm Coast, FL 32164-2456 - Phone
- (386) 437-4711
- Fax
- (386) 437-4772
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN1952402 | FL | Primary |
Addresses
Primary practice location
21 Hospital Dr Ste 280
Palm Coast, FL 32164-2456
Mailing address
21 Hospital Dr Ste 280
Palm Coast, FL 32164-2456
Phone (386) 437-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 5, 2025 through Jun 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1952402 | FL | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- sharon.leventhal.1@23575.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1144793696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOSPITAL DR STE 280",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642456",
"telephone_number": "386-437-4711",
"fax_number": "386-437-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HOSPITAL DR STE 280",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642456",
"telephone_number": "386-437-4711",
"fax_number": "386-437-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "SHARON",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN1952402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.