Organization Active NPI

John H III & Sharon Oglesbee

  • Family Nurse Practitioner
  • San Augustine, TX
National Provider Identifier
1174854475
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
505965 Issued in TX
Legal business name
JOHN H III & SHARON OGLESBEE
Practice address
504 E Hospital St
San Augustine, TX 75972-2122
Phone
(936) 275-9716
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mrs. Sharon Kay Oglesbee, RN FNP
Title
Nurse Practitioner
Phone
(936) 275-9716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G5444 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 505965 TX Primary

Addresses

Primary practice location

504 E Hospital St
San Augustine, TX 75972-2122

Mailing address

504 E Hospital St
San Augustine, TX 75972-2122

Other identifiers 2

IdentifierTypeStateIssuer
018839301MedicaidTX
115725701MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1174854475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E HOSPITAL ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759722122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E HOSPITAL ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759722122",
            "telephone_number": "936-275-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H III & SHARON OGLESBEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "OGLESBEE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "936-275-9716",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "505965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018839301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115725701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Augustine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.