Active NPI
Sharleen Marie Rupp, AU.D.
- Audiologist
- Fort Campbell, KY
National Provider Identifier
1447520630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 392A
- Practice address
- 5979 Desert Storm Ave
Fort Campbell, KY 42223-5514 - Phone
- (270) 412-9110
- Fax
- (270) 412-9131
- NPI assigned
- Jan 5, 2012
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 392A | SD | Primary |
Addresses
Primary practice location
5979 Desert Storm Ave
Fort Campbell, KY 42223-5514
Mailing address
Georgia Avenue, BLDG 3508
Ft Polk, LA 71459
Phone (337) 531-3192
Other names 1
- Mrs. Sharleen Marie Morningstar
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 392A | SD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447520630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GEORGIA AVENUE, BLDG 3508",
"city": "FT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "337-531-3192",
"fax_number": "337-531-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 DESERT STORM AVE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235514",
"telephone_number": "270-412-9110",
"fax_number": "270-412-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPP",
"first_name": "SHARLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SD",
"license": "392A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARLEEN",
"last_name": "MORNINGSTAR",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.