Individual provider Active NPI

Sharon Miner

  • Primary Care Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1336540657
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
LP-0000115 Issued in DE
Practice address
1400 N Washington St
Wilmington Hospital Annex
Wilmington, DE 19801-1024
Phone
(302) 320-1300
Fax
(302) 320-1373
NPI assigned
Sep 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LP-0000115 DE
Gerontology Nurse Practitioner 363LG0600X LP-0000115 DE
Primary Care Nurse Practitioner 363LP2300X LP-0000115 DE Primary

Addresses

Primary practice location

1400 N Washington St
Wilmington Hospital Annex
Wilmington, DE 19801-1024

Mailing address

1400 N Washington St
Wilmington Hospital Annex
Wilmington, DE 19801-1024
Phone (302) 320-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20141023002436 DE Practitioner - Nurse Practitioner 0042431637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LP-0000115DEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Sep 17, 2014 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 17, 2014 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients

Locations

1400 N Washington St
Wilmington, DE 19801
Phone (302) 255-1300

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1336540657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WASHINGTON ST",
            "address_2": "WILMINGTON HOSPITAL ANNEX",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011024",
            "telephone_number": "302-320-1300",
            "fax_number": "302-320-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WASHINGTON ST",
            "address_2": "WILMINGTON HOSPITAL ANNEX",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011024",
            "telephone_number": "302-320-1300",
            "fax_number": "302-320-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0000115",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0000115",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0000115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.