Individual provider Active NPI

Lisa Ann Shearer, RN., GONP., APRN-BC

  • Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1376682310
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
800145 Issued in NC
Practice address
538 Scotts Creek Rd
Suite 100
Sylva, NC 28779-5677
Phone
(828) 586-8994
Fax
(828) 586-3493
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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 800145 NC Primary

Addresses

Primary practice location

538 Scotts Creek Rd
Suite 100
Sylva, NC 28779-5677

Mailing address

538 Scotts Creek Rd
Suite 100
Sylva, NC 28779-5677
Phone (828) 586-8994

Other identifiers 1

IdentifierTypeStateIssuer
800145OtherNCGONP

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
800145NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1376682310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK RD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795677",
            "telephone_number": "828-586-8994",
            "fax_number": "828-586-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK RD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795677",
            "telephone_number": "828-586-8994",
            "fax_number": "828-586-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN., GONP., APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "800145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GONP",
            "identifier": "800145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.