Active NPI
Sharon Lorraine Reese, CRNP
- Adult Health Nurse Practitioner
- Hagerstown, MD
National Provider Identifier
1407801947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R064128
- Practice address
- 11110 Medical Campus Rd
Suite 143
Hagerstown, MD 21742-6700 - Phone
- (301) 714-4178
- Fax
- (301) 714-4190
- NPI assigned
- May 23, 2006
- Last updated
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R064128 | MD | Primary |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 143
Hagerstown, MD 21742-6700
Mailing address
11110 Medical Campus Rd
Suite 143
Hagerstown, MD 21742-6700
Phone (301) 714-4178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020381500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1407801947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 143",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4178",
"fax_number": "301-714-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 143",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-714-4178",
"fax_number": "301-714-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "SHARON",
"middle_name": "LORRAINE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R064128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020381500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.