Individual provider Active NPI

Sharon Ann Simsdrew, NP

  • Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1366885782
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22353 Issued in CA
Practice address
10101 Renner Blvd
Lenexa, KS 66219-9752
Phone
(913) 895-2403
Fax
(913) 859-6887
NPI assigned
Apr 16, 2013
Last updated
Apr 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22353 CA Primary

Addresses

Primary practice location

10101 Renner Blvd
Lenexa, KS 66219-9752

Mailing address

14410 Cerise Ave Apt 1
Hawthorne, CA 90250-9021
Phone (424) 269-0352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1366885782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 CERISE AVE APT 1",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902509021",
            "telephone_number": "424-269-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 RENNER BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662199752",
            "telephone_number": "913-895-2403",
            "fax_number": "913-859-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMSDREW",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.