Courtney Royal Sharpe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12625 Issued in FL

Practice address

12413 Riverglen Dr
Riverview, FL 33569-8213

Phone

(865) 816-7360

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillwater Assisted Living, LLC

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1366112914
  NPD
• Stillwater Assisted Living, LLC

  • Assisted Living Facility
  • Brandon, FL
  • NPI 1730811746
  NPD

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1467028688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 RIVERGLEN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698213",
            "telephone_number": "865-816-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 RIVERGLEN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698213",
            "telephone_number": "865-816-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "COURTNEY",
        "middle_name": "ROYAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maham Shamim Shaikh
• Shaila A Shanchita, M.D.
• Amber Michele Shankland, PHARM.D.
• Shared Serenity Inc
• Asim Shareef, DO
• Marilyn Shaw
• Shedev Community Outreach Center, Inc
• Michael Mina Hany Shehata, MD
• Shepherd Homes Corp
• Stefanie Anne Sherman, LCPC

• Assisted Living Facility in Riverview, FL
• Providers in Riverview, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.