Active NPI
Sharon L Ernst, CRNP
- Acute Care Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1386793990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 107638
- Practice address
- 1001 Lakeside Ave E
Suite 1000
Cleveland, OH 44114-1158 - Phone
- (330) 472-8080
- Fax
- (216) 420-9354
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 107638 | OH | Primary |
Addresses
Primary practice location
1001 Lakeside Ave E
Suite 1000
Cleveland, OH 44114-1158
Mailing address
800 Grove St NE
Canton, OH 44721-3107
Phone (330) 472-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2367559 | Medicaid | OH |
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107638 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Services Company | Acute Care | Past | Accepting new patients |
Organizations & group practices 1
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": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386793990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GROVE ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447213107",
"telephone_number": "330-472-8080",
"fax_number": "330-494-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E",
"address_2": "SUITE 1000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141158",
"telephone_number": "330-472-8080",
"fax_number": "216-420-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "SHARON",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "107638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2367559",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.