Individual provider Active NPI

Kyra Loraine Sharp, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1255769279
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008233 Issued in KY
Practice address
2508 Scottsville Rd Ste 104
Bowling Green, KY 42104-4400
Phone
(270) 746-6330
Fax
(270) 904-6337
NPI assigned
Oct 30, 2013
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008233 KY Primary

Addresses

Primary practice location

2508 Scottsville Rd Ste 104
Bowling Green, KY 42104-4400

Mailing address

293 Chaney Rd
Franklin, KY 42134-5108
Phone (270) 850-9736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150312002716 KY Practitioner - Nurse Practitioner 3971829797 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008233KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Family CurrentSince Mar 27, 2023 Accepting new patients
Urgent Care Services Southeast PSC Family CurrentSince Dec 23, 2023 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Apr 22, 2023 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Dec 22, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince Jan 26, 2025 Accepting new patients
Elizabethtown Emergency Physicians, LLC CurrentSince Dec 10, 2020 Accepting new patients
Zipclinic, PSC CurrentSince Sep 1, 2020 Accepting new patients

Locations

651 US 31W Byp
Bowling Green, KY 42101
Phone (270) 495-0440

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

651 US 31W Byp
Ste 106
Bowling Green, KY 42101
Phone (270) 495-0440

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1255769279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 CHANEY RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421345108",
            "telephone_number": "270-850-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 SCOTTSVILLE RD STE 104",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044400",
            "telephone_number": "270-746-6330",
            "fax_number": "270-904-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KYRA",
        "middle_name": "LORAINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.