Active NPI
Sharon L. Reinertsen Garland, MD
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1326016478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME111750
- Practice address
- 1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188 - Phone
- (904) 396-0000
- Fax
- (904) 396-5206
- NPI assigned
- Mar 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME111750 | FL | Primary |
Addresses
Primary practice location
1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003125688A | Medicaid | GA | |
| P01272680 | Other | FL | RAILROAD MEDICARE |
| 005948500 | Medicaid | FL |
Other names 1
- Sharon L. Reinerstsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1326016478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45443",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841450443",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 PRUDENTIAL DR STE 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078188",
"telephone_number": "904-396-0000",
"fax_number": "904-396-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINERTSEN GARLAND",
"first_name": "SHARON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME111750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003125688A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01272680",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005948500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "REINERSTSEN",
"middle_name": "L.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.