Active NPI
John H III & Sharon Oglesbee
- Family Nurse Practitioner
- San Augustine, TX
National Provider Identifier
1174854475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 505965
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G5444 | TX | |
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018839301 | Medicaid | TX | |
| 115725701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.