Sharon Elizabeth Reynolds, MN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201250019NP Issued in OR

Practice address

2999 NE 181St Ave
Portland, OR 97230-6923

Phone

(503) 401-5201

Fax

(503) 401-3322

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Sharon Elizabeth Rupert Underwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• LK Healthcare Systems, L.L.C.

  • Acute Care Nurse Practitioner
  • Airway Heights, WA
  • NPI 1902054687

  Family

  NPD (past)
• Rapid Clinics LLC

  • Urgent Care Clinic/Center
  • Spokane Valley, WA
  • NPI 1760606578
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1205893328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306923",
            "telephone_number": "503-401-5201",
            "fax_number": "503-401-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306923",
            "telephone_number": "503-401-5201",
            "fax_number": "503-401-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "credential": "MN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00068423",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201240347RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250019NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "RUPERT UNDERWOOD",
            "middle_name": "ELIZABETH",
            "credential": "MN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa A Reynolds, MD
• Matthew Rudd Reynolds
• Nancy Louise Reynolds, LCSW,RN
• Olivia Reynolds, PSY.D.
• Ricco Cory Reynolds, FNP-C
• Stephen M Reynolds, LCSW
• Olivia Brooks Reynoldson, LAC, DAOM
• Chelsea Reynosa
• Carlos Reynoso
• Giselle Reynoso

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.