Individual provider Active NPI

Sharilyn J Fields, RN, FNP-BC

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1215204235
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033760 Issued in OH
Practice address
3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone
(888) 364-5977
Fax
(216) 765-0521
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.0033760 OH Primary
General Practice Registered Nurse 163WG0000X 629301 CA
Family Nurse Practitioner 363LF0000X 19338 CA

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343

Mailing address

25423 Halburton Rd
Beachwood, OH 44122-4179
Phone (310) 570-6950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181127001139 CA Practitioner - Nurse Practitioner 3173877461 Reassigns benefits to 1 organization
I20240319000806 OH Practitioner - Nurse Practitioner 3173877461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
629301CAMDGeneral Practice Registered Nurse
APRN.CNP.0033760OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Sep 25, 2019 Accepting new patients
Northeast Valley Health Corporation Single Specialty CurrentSince Sep 25, 2019 Accepting new patients
Emily Program P C Single Specialty CurrentSince Feb 19, 2024 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients
Emily Program PC Single Specialty Past Accepting new patients

Locations

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

6551 Van Nuys Blvd
Fl 2
Van Nuys, CA 91401
Phone (818) 765-8656

2265 Como Ave
Saint Paul, MN 55108

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1215204235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25423 HALBURTON RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224179",
            "telephone_number": "310-570-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227343",
            "telephone_number": "888-364-5977",
            "fax_number": "216-765-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "SHARILYN",
        "middle_name": "J",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033760",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "629301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.