Individual provider Active NPI

Sharon Irene Stiver, CRNP

  • Family Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1376859983
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010918 Issued in PA
Practice address
2907 Pleasant Valley Blvd
Altoona, PA 16602-4305
Phone
(814) 943-8164
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP010918 PA
Family Nurse Practitioner 363LF0000X SP010918 PA Primary

Addresses

Primary practice location

2907 Pleasant Valley Blvd
Altoona, PA 16602-4305

Mailing address

2907 Pleasant Valley Blvd
Altoona, PA 16602-4305
Phone (814) 943-8164

Other practice location 1

1225 Warm Springs Avenue
JC Blair Memorial Hospital
Huntingdon, PA 16653
Phone (814) 643-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180220001450 PA Practitioner - Nurse Practitioner 5496016172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP010918PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital CurrentSince Jul 9, 2018 Accepting new patients
Tyrone Hospital Current Accepting new patients
Tyrone Hospital CurrentSince Jul 9, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 4

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1376859983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024305",
            "telephone_number": "814-943-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024305",
            "telephone_number": "814-943-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Warm Springs Avenue",
            "address_2": "JC Blair Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "16653",
            "country_code": "US",
            "telephone_number": "814-643-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVER",
        "first_name": "SHARON",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP010918",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.