Individual provider Active NPI

Sharon Joyce Lundstrom, RN FNP C

  • Family Nurse Practitioner
  • Highlands Ranch, CO
National Provider Identifier
1194873752
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115679 Issued in CO
Practice address
9551 S University Blvd
Highlands Ranch, CO 80126-8117
Phone
(303) 459-5639
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 724151 TX
Family Nurse Practitioner 363LF0000X 115679 CO Primary

Addresses

Primary practice location

9551 S University Blvd
Highlands Ranch, CO 80126-8117

Mailing address

9551 S University Blvd
Highlands Ranch, CO 80126-8117
Phone (303) 459-5639

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
115679COMDFamily Nurse Practitioner
724151TXMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1194873752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268117",
            "telephone_number": "303-459-5639",
            "fax_number": "214-696-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268117",
            "telephone_number": "303-459-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "SHARON",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "RN FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "724151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "115679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.