Sharon Igou

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018018398 Issued in MO

Practice address

820 S Illinois Ave
Republic, MO 65738-1177

Phone

(417) 269-1910

Fax

(417) 269-1916

NPI assigned

Jun 5, 2018

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sigou11@yourcarecommunity.org

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.

• Lester E Cox Medical Centers

  dba Coxhealth Center Lebanon

  • Family Medicine Physician
  • Lebanon, MO
  • NPI 1881240844
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1316439466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ILLINOIS AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381177",
            "telephone_number": "417-269-1910",
            "fax_number": "417-269-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGOU",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018018398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hines Street Pharmacy LLC
• Martin Dale Hodges
• Amanda S Hoge
• Alexandria Paige Holmes, OD
• Drew Holtz, RPH
• J&J King Investments, Inc (ReNew Surfacing)
• Mark J Jarek, MD
• Marcey Ann Jumper, BCHIS
• Brian Thomas Kelley, PHARM.D.
• Paula R Kelsey, SLP

• Family Nurse Practitioner in Republic, MO
• Providers in Republic, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.