Nathana Rae Sharp, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27572 Issued in WV

Practice address

100 Hospital Dr Ste 3
Petersburg, WV 26847-9570

Phone

(304) 257-1015

Fax

(304) 257-1129

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant Memorial Homecare and Hospice LLC

  dba Grant Memorial HomeCare

  • Home Health Agency
  • Petersburg, WV
  • NPI 1104084151
  NPD
• Grant Memorial Homecare and Hospice, LLC

  dba Grant Memorial Hospice

  • Community Based Hospice Care Agency
  • Petersburg, WV
  • NPI 1053579102
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1407568157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DANDELION CIR",
            "city": "MOUNT STORM",
            "state": "WV",
            "postal_code": "267398526",
            "telephone_number": "304-813-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 3",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479570",
            "telephone_number": "304-257-1015",
            "fax_number": "304-257-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "NATHANA",
        "middle_name": "RAE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "27572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "100 Hospital Dr Ste 3",
            "city": "Petersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "268479570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reva Sendling
• Clarissa Severe
• Danielle Shaffer
• Lisa Shaffer
• Americus Nicole Shanholtz
• Wanda Shell
• Erika Sherman
• Vicky L Sherman
• Rebecca Shifflett
• Alice A Shirk

• Licensed Practical Nurse in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.