Eddie Lee Sharp Jr Jr.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

11601 4TH St N Apt 2801
St Petersburg, FL 33716-2746

Phone

(727) 922-1247

NPI assigned

Dec 12, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1316754443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 4TH ST N APT 2801",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162746",
            "telephone_number": "727-922-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 4TH ST N APT 2801",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162746",
            "telephone_number": "727-922-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP JR",
        "first_name": "EDDIE",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "ZZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Meredith Shapiro, ARNP
• Lea Russell Shappee, RD, LD/N
• James Shapter, RDN, LDN
• Shari a. Clark, LLC
• Rajiv Kumar Sharma, M.D.
• Merrily Shary, M.S
• Lisa Mae Shaub, FNP-C
• Tracy Darlene Shaver Schlabach
• Ashleigh Elizabeth Shaver, FNP-C
• Aiyana Marie Shaw

• Intellectual & Developmental Disabilities Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.