Active NPI
Sharon Powell Nazemi, AUD
- Audiologist
- Jacksonville, FL
National Provider Identifier
1417034463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1610
- Practice address
- 807 Childrens Way
Nemours Childrens Clinic
Jacksonville, FL 32207-8426 - Phone
- (904) 697-3694
- Fax
- (904) 697-3927
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002116 | NY | |
| Audiologist | 231H00000X | AY1610 | FL | Primary |
Addresses
Primary practice location
807 Childrens Way
Nemours Childrens Clinic
Jacksonville, FL 32207-8426
Mailing address
PO Box 191
Provider Enrollment
Rockland, DE 19732-0191
Phone (302) 651-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
Other names 1
- Sharon Elizabeth Powell
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002116 | NY | MD | Physical Therapy Assistant |
| AY1610 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | 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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1417034463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-6212",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CHILDRENS WAY",
"address_2": "NEMOURS CHILDRENS CLINIC",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078426",
"telephone_number": "904-697-3694",
"fax_number": "904-697-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZEMI",
"first_name": "SHARON",
"middle_name": "POWELL",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002116",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00246075",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "POWELL",
"middle_name": "ELIZABETH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.