Organization Active NPI

Sharp Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fayetteville, WV
National Provider Identifier
1184084485
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
64101 Issued in WV
Legal business name
SHARP ANESTHESIA, LLC
Practice address
1246 Beckwith Rd
Fayetteville, WV 25840-9575
Phone
(304) 574-1679
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Jamie Sharp, CRNA
Title
Owner
Phone
(304) 574-1697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 64101 WV Primary

Addresses

Primary practice location

1246 Beckwith Rd
Fayetteville, WV 25840-9575

Mailing address

1246 Beckwith Rd
Fayetteville, WV 25840-9575
Phone (304) 574-1679

Other identifiers 1

IdentifierTypeStateIssuer
1083898019OtherWVNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1184084485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 BECKWITH RD",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258409575",
            "telephone_number": "304-574-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 BECKWITH RD",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258409575",
            "telephone_number": "304-574-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-574-1697",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "64101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083898019",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.