Individual provider Active NPI

Andrew Sharp, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, LA
National Provider Identifier
1235268863
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN111957AP04686 Issued in LA
Practice address
304 West 4TH Street
Independence, LA 70443
Phone
(985) 878-8030
Fax
(985) 878-4416
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN111957AP04686 LA Primary

Addresses

Primary practice location

304 West 4TH Street
Independence, LA 70443

Mailing address

102 Beau Soleil PL
Mandeville, LA 70471-1703

Other identifiers 1

IdentifierTypeStateIssuer
0062420MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20050802000961 LA Practitioner - Nurse Practitioner 9032102900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Hospital, LLCGroup PAC ID 0840278289, 2 clinicians

Practice addresses (Care Compare)

201 Greenbrier Blvd
Covington, LA 70433-7236
Phone (985) 893-2970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN111957AP04686LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Hospital, LLC CurrentSince Feb 2, 2019 Accepting new patients

Locations

201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1235268863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BEAU SOLEIL PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711703",
            "fax_number": "985-878-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WEST 4TH STREET",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "70443",
            "telephone_number": "985-878-8030",
            "fax_number": "985-878-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ANDREW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN111957AP04686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062420",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.