Sharon Hackworth

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

3425 Windy Hollow Cir
Memphis, TN 38118-4002

Phone

(901) 608-0380

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sharon Bonner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• This Way Transportation

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1073005542
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1306383302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 WINDY HOLLOW CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381184002",
            "telephone_number": "901-518-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 WINDY HOLLOW CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381184002",
            "telephone_number": "901-608-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKWORTH",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306383302",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BONNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip Habegger, FNP-C
• Brandon C Habkouk, DNP, APRN
• Ann E Hackerman, NCC, CRC, LPC
• Michael Jason Hackett
• Justina Lynn Hackman
• Brenda A. Haddakin, LPN
• Laurie T Haddow, LPC
• Ann Michele Hadley, BS, RRT, CPFT
• Candace Hadley, LMSW
• Aqsa Hafeez

• Contractor in Memphis, TN
• Providers in Memphis, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.