Individual provider Active NPI

Sharolyn Liane McClurg, RN, CNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1245231042
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP2145 Issued in AZ
Practice address
2025 N 3Rd St
Suite 170
Phoenix, AZ 85004-1471
Phone
(602) 462-1132
Fax
(602) 462-1186
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP2145 AZ Primary

Addresses

Primary practice location

2025 N 3Rd St
Suite 170
Phoenix, AZ 85004-1471

Mailing address

1393 W Oriole Way
Chandler, AZ 85248-3161
Phone (480) 659-7596

Other identifiers 1

IdentifierTypeStateIssuer
953093MedicaidAZ

Other names 1

  • Ms. Sharolyn Liane Ding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050801000366 AZ Practitioner - Nurse Practitioner 9133023526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2145AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zaki Lababidi MD SC CurrentSince Mar 17, 2008 Accepting new patients

Locations

3505 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 786-9100

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1245231042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 W ORIOLE WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483161",
            "telephone_number": "480-659-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-462-1132",
            "fax_number": "602-462-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURG",
        "first_name": "SHAROLYN",
        "middle_name": "LIANE",
        "name_prefix": "Ms.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP2145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953093",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAROLYN",
            "last_name": "DING",
            "middle_name": "LIANE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.