Sharlyn Ann Secor, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

333741 Issued in NY

Practice address

811 Ridge Rd
Suite 101
Webster, NY 14580-2401

Phone

(585) 671-4660

Fax

(585) 671-4668

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  Medicare reassignment NPD
• FLH Medical, PC

  • Gastroenterology Physician
  • Geneva, NY
  • NPI 1164766325
  NPD
• Extended Medical Services

  • Family Nurse Practitioner
  • Webster, NY
  • NPI 1225241557
  NPD (past)
• Extended Medical Services, PLLC

  • Urgent Care Clinic/Center
  • Hilton, NY
  • NPI 1053405241
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1386743318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RIDGE RD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802401",
            "telephone_number": "585-671-4660",
            "fax_number": "585-671-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RIDGE RD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802401",
            "telephone_number": "585-671-4660",
            "fax_number": "585-671-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOR",
        "first_name": "SHARLYN",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02555879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Vincent Scigliano, PHARMD
• Megan Scott, MS/OTR/L
• Erin Kathleen Scuderi
• John W Seaford, MD
• Kimberly Lynn Seaver, M.A., CCC-SLP
• Richard Seeger, M.D.
• Senior Medical Care PLLC
• Jeanine Sepka
• Scott Patrick Shales, DC
• Laurel J Shambo, PA

• Family Nurse Practitioner in Webster, NY
• Providers in Webster, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.