Active NPI
Sharon L Paul, DNP, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Apache Junction, AZ
National Provider Identifier
1275758971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP2469
- Practice address
- 2066 W. Apache Trail
Suite 112
Apache Junction, AZ 85120 - Phone
- (480) 503-8530
- Fax
- (480) 503-8531
- NPI assigned
- Apr 16, 2007
- Last updated
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP2469 | AZ | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704203251 | MI | |
| Psychiatry Physician | 2084P0800X | 4704203251 | MI | |
| Psychiatry Physician | 2084P0800X | 140834 | AZ |
Addresses
Primary practice location
2066 W. Apache Trail
Suite 112
Apache Junction, AZ 85120
Mailing address
17762 N. El Dorado Way
Surprise, AZ 85374
Phone (623) 243-0635
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140834 | AZ | MD | Psychiatry Physician |
| AP2469 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 4704203251 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Psychiatry | Current | Accepting new patients |
| Southwest Behavioral Health Service | Past | Accepting new patients | |
| Becoming Transformed LLC | Past | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
Organizations & group practices 3
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.
-
- Counselor
- Peoria, AZ
- NPI 1952819401
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buckeye, AZ
- NPI 1104030980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1275758971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17762 N. EL DORADO WAY",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "85374",
"telephone_number": "623-243-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2066 W. APACHE TRAIL",
"address_2": "SUITE 112",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "85120",
"telephone_number": "480-503-8530",
"fax_number": "480-503-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "SHARON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DNP, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP2469",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704203251",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4704203251",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "140834",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.