Individual provider Active NPI

Sharon Rose Edwards, NP

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1205826294
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN303370 NP7553 Issued in CA
Practice address
5640 N Fresno St
#110
Fresno, CA 93710-6098
Phone
(559) 266-9906
Fax
(559) 266-0906
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN303370 NP7553 CA Primary

Addresses

Primary practice location

5640 N Fresno St
#110
Fresno, CA 93710-6098

Mailing address

7025 N Pleasant Ave
#115
Fresno, CA 93711-7031
Phone (559) 266-9906

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

State licenses

LicenseStateTypeSpecialty
303370CAMDPhysical Therapist
RN303370 NP7553CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. PastSince May 10, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1205826294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N PLEASANT AVE",
            "address_2": "#115",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117031",
            "telephone_number": "559-266-9906",
            "fax_number": "559-266-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N FRESNO ST",
            "address_2": "#110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106098",
            "telephone_number": "559-266-9906",
            "fax_number": "559-266-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN303370  NP7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.