Active NPI
Sharon Elisa McKemie Bauer, LPC
- Professional Counselor
- Homer, AK
National Provider Identifier
1447596200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 774
- Practice address
- 3691 Ben Walters LN Ste 3
RM # 8
Homer, AK 99603-7750 - Phone
- (907) 235-1881
- NPI assigned
- Dec 26, 2012
- Last updated
- Sep 23, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 774 | AK | Primary |
Addresses
Primary practice location
3691 Ben Walters LN Ste 3
RM # 8
Homer, AK 99603-7750
Mailing address
PO Box 15363
Fritz Creek, AK 99603-6363
Phone (907) 299-6737
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 |
|---|---|---|---|
| 774 | AK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1447596200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15363",
"city": "FRITZ CREEK",
"state": "AK",
"postal_code": "996036363",
"telephone_number": "907-299-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 BEN WALTERS LN STE 3",
"address_2": "RM # 8",
"city": "HOMER",
"state": "AK",
"postal_code": "996037750",
"telephone_number": "907-235-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "SHARON",
"middle_name": "ELISA MCKEMIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.