Individual provider Active NPI

Sharon Marjorie Tomlinson, PMHNP

  • Psychiatry Physician
  • Allen, TX
National Provider Identifier
1386267466
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AP145910 Issued in TX
Practice address
705 Bray Central Dr Apt 9306
Allen, TX 75013-6377
Phone
(469) 525-5400
NPI assigned
May 22, 2020
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 624142 TX
Psychiatry Physician 2084P0800X AP145910 TX Primary

Addresses

Primary practice location

705 Bray Central Dr Apt 9306
Allen, TX 75013-6377

Mailing address

705 Bray Central Dr Apt 9306
Allen, TX 75013-6377
Phone (469) 525-5400

Other identifiers 1

IdentifierTypeStateIssuer
624142OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20210616002127 NV Practitioner - Nurse Practitioner 1759794340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosa Bellota MD PC IncGroup PAC ID 6608118153, 3 clinicians

Practice addresses (Care Compare)

4958 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1421
Phone (702) 987-6174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
624142TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zane Medical Group LLC CurrentSince May 11, 2021 Accepting new patients
Rosa Bellota MD PC Inc Psychiatry CurrentSince Dec 6, 2021 Accepting new patients
Oasis Wellness Group, Inc. PastSince Dec 6, 2021 Accepting new patients
Changing Minds Psychiatry LLC Psychiatry PastSince Jun 15, 2021 Accepting new patients

Locations

4958 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 987-6174

620 E Twain Ave
Las Vegas, NV 89169
Phone (702) 272-0025

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1386267466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BRAY CENTRAL DR APT 9306",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136377",
            "telephone_number": "469-525-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BRAY CENTRAL DR APT 9306",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136377",
            "telephone_number": "469-525-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "SHARON",
        "middle_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "624142",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "AP145910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "624142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.