Individual provider Active NPI

Sharon M Naylor, FNP-BC

  • Family Nurse Practitioner
  • Stanford, KY
National Provider Identifier
1396921979
Registry record updated Mar 17, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Aug 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004566 Issued in KY
Practice address
3115 Ky Highway 698
Stanford, KY 40484-9441
Phone
(270) 943-8202
NPI assigned
Jan 14, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13338 TN
Family Nurse Practitioner 363LF0000X 3004566 KY Primary

Addresses

Primary practice location

3115 Ky Highway 698
Stanford, KY 40484-9441

Mailing address

PO Box 336
Junction City, KY 40440-0336
Phone (270) 943-8202

Other practice location 1

2212 Jacksboro Pike
LA Follette, TN 37766-2903
Phone (423) 201-9287

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004566KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rose of Sharon House Past Accepting new patients
Advanced Pain and Weight Loss Solutions PSC Past Accepting new patients

Organizations & group practices 2

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396921979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "JUNCTION CITY",
            "state": "KY",
            "postal_code": "404400336",
            "telephone_number": "270-943-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 KY HIGHWAY 698",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404849441",
            "telephone_number": "270-943-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 Jacksboro Pike",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377662903",
            "country_code": "US",
            "telephone_number": "423-201-9287",
            "fax_number": "423-201-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.