Individual provider Active NPI

Tracy Margaret Sharpe, RD CDE

  • Nutritionist
  • Brooklyn, NY
National Provider Identifier
1174566889
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0023631 Issued in NY
Practice address
546 Eastern Parkway
Empire Center
Brooklyn, NY 11225
Phone
(718) 604-4800
Fax
(718) 604-4828
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0023631 NY Primary

Addresses

Primary practice location

546 Eastern Parkway
Empire Center
Brooklyn, NY 11225

Mailing address

55 Water Street 12TH Floor Cred Dept
Advantagecare Physicians, PC
New York, NY 10041-0004
Phone (718) 826-5911

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

State licenses

LicenseStateTypeSpecialty
0023631NYMDNutritionist
002563NYMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1174566889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET 12TH FLOOR CRED DEPT",
            "address_2": "ADVANTAGECARE PHYSICIANS, PC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "718-826-5911",
            "fax_number": "718-826-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 EASTERN PARKWAY",
            "address_2": "EMPIRE CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11225",
            "telephone_number": "718-604-4800",
            "fax_number": "718-604-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "TRACY",
        "middle_name": "MARGARET",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "0023631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.