Active NPI
Lynn Carol Sharp, APRN
- Critical Care Medicine Nurse Practitioner
- Jackson, MS
National Provider Identifier
1194397067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 904654
- Practice address
- 1850 Chadwick Dr
Jackson, MS 39204-3404 - Phone
- (601) 376-1000
- NPI assigned
- Jul 12, 2021
- Last updated
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 904654 | MS | Primary |
Addresses
Primary practice location
1850 Chadwick Dr
Jackson, MS 39204-3404
Mailing address
130 Five Point LN # 0
Terry, MS 39170-9506
Phone (601) 672-5672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904654 | Medicaid | MS | |
| 905654 | Medicaid | MS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Terry | Direct | |
| CONNECT URL | Terry | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Ms Methodist Hospital & Rehabilitation Center | Past | Accepting new patients | |
| Joyce D Wade Pulmonary & Sleep Specialist | Past | Accepting new patients |
Locations
1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Methodist Rehab Center
- Physical Medicine & Rehabilitation Physician
- Jackson, MS
- NPI 1790711273
-
- Pulmonary Disease Physician
- Flowood, MS
- NPI 1093819799
-
dba Methodist Orthotics & Prosthetics
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1689461626
-
- Pulmonary Disease Physician
- Jackson, MS
- NPI 1336216431
-
dba Methodist Rehab Ceter
- Clinical Neuropsychologist
- Jackson, MS
- NPI 1285772293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1194397067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 FIVE POINT LN # 0",
"city": "TERRY",
"state": "MS",
"postal_code": "391709506",
"telephone_number": "601-672-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 CHADWICK DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043404",
"telephone_number": "601-376-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "LYNN",
"middle_name": "CAROL",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MS",
"license": "904654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904654",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "905654",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Terry",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Terry",
"address_1": "130 Five Point Ln # 0",
"city": "Terry",
"state": "MS",
"country_code": "US",
"postal_code": "391709506",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Terry",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Terry",
"address_1": "130 Five Point Ln # 0",
"city": "Terry",
"state": "MS",
"country_code": "US",
"postal_code": "391709506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.