Katelyn M. Sharp, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003603 Issued in CA

Practice address

3990 Industrial Blvd
West Sacramento, CA 95691

Phone

(916) 796-0020

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Shasta Lake, CA
  • NPI 1013932797

  Family

  NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205293370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 INDUSTRIAL BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 INDUSTRIAL BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95691",
            "telephone_number": "916-796-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Stony Cir Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954019520",
            "country_code": "US",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Placer St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011125",
            "country_code": "US",
            "telephone_number": "530-246-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "95691",
            "country_code": "US",
            "telephone_number": "916-796-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KATELYN",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "NP95003603",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freshta Sedeqi
• Ahmad Khowaja Sediqy, RN
• Salaam Ajala Shabazz
• Saddif B Shah
• Avni Sharma
• Yi-Hsin Shen
• Lisa Shepard
• Ashley Shively
• Lisa Sickman, BCBA
• Christina Marie Sillman

• Family Nurse Practitioner in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.