Organization Active NPI

Shari's Shoes LLC

  • Durable Medical Equipment & Medical Supplies
  • Waterbury, CT
National Provider Identifier
1336136902
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9948
Legal business name
SHARI'S SHOES LLC
Practice address
1420 N Main St
Waterbury, CT 06704-2713
Phone
(203) 753-7463
Fax
(203) 753-7463
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Miss Sharon Frances Nuerakis, CPED
Title
Board Certified Pedorthist
Phone
(203) 753-7463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9948 Primary
Prosthetic/Orthotic Supplier 335E00000X 9948

Addresses

Primary practice location

1420 N Main St
Waterbury, CT 06704-2713

Mailing address

1420 N Main St
Waterbury, CT 06704-2713
Phone (203) 753-7463

National Provider Directory

National Provider Directory

Locations

1420 N Main St
Waterbury, CT 06704
Phone (203) 753-7463

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1336136902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067042713",
            "telephone_number": "203-753-7463",
            "fax_number": "203-753-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067042713",
            "telephone_number": "203-753-7463",
            "fax_number": "203-753-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI'S SHOES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "NUERAKIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "BOARD CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "203-753-7463",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "9948",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "9948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.