Columbia River Primary Care and Aesthetics PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COLUMBIA RIVER PRIMARY CARE AND AESTHETICS PLLC

Practice address

3501 Road 68 Ste 4
Pasco, WA 99301-1973

Phone

(509) 542-7932

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Nichole M. Sharp, DNP-FNP, ARNP

Title

Owner

Phone

(509) 366-0786

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1366088601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2651",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993022651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ROAD 68 STE 4",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011973",
            "telephone_number": "509-542-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER PRIMARY CARE AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-366-0786",
        "authorized_official_credential": "DNP-FNP, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia River Medical Center PLLC
• Columbia Safety Medical LLC.
• Community Denture Clinic LLC
• Comprehensive Healthcare
• Comprehensive Healthcare
• Renelle Conner

• Family Nurse Practitioner in Pasco, WA
• Providers in Pasco, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.