Individual provider Active NPI

Sharon Maureen Sweet, FNP-C

  • Family Nurse Practitioner
  • Ellisville, MO
National Provider Identifier
1336650217
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017036745 Issued in MO
Practice address
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone
(636) 256-8644
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017036745 MO Primary

Addresses

Primary practice location

233 Clarkson Rd
Ellisville, MO 63011-2219

Mailing address

6 Fawnwood Dr
Saint Louis, MO 63128-1824
Phone (314) 303-5651

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180115000008 MO Practitioner - Nurse Practitioner 2062771314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

10700 Manchester Rd
Suite E
Kirkwood, MO 63122-1307
Phone (314) 428-9541

1125 Main St
Imperial, MO 63052-2323
Phone (636) 206-8051

11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543

20 The Legends Pkwy
Eureka, MO 63025-3823
Phone (636) 549-8509

2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

4260 Hampton Ave
Saint Louis, MO 63109-2119
Phone (314) 282-6323

555 Washington SQ
Washington, MO 63090-5343
Phone (636) 390-1777

5640 C Telegraph Rd
Saint Louis, MO 63129-4243
Phone (314) 293-4413

660 A S Truman Blvd
Festus, MO 63028-2235
Phone (636) 206-8049

676 Gravois Bluffs Blvd
Suite A1
Fenton, MO 63026-7742
Phone (636) 492-2245

901 Patients 1St Dr
Suite 1200
Washington, MO 63090-4700
Phone (636) 392-2209

9551 Watson Rd
Mercy Gohealth Crestwood
Saint Louis, MO 63126-1532
Phone (314) 501-1826

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017036745MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients

Locations

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Organizations & group practices 2

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1336650217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FAWNWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281824",
            "telephone_number": "314-303-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112219",
            "telephone_number": "636-256-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "SHARON",
        "middle_name": "MAUREEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017036745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.