Active NPI
Sharon M Pickens, APN
- Nurse Practitioner
- Sherwood, AR
National Provider Identifier
1467458539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01515
- Practice address
- 2402 Wildwood Ave
Suite 402
Sherwood, AR 72120-5084 - Phone
- (501) 992-1910
- Fax
- (501) 992-1915
- NPI assigned
- Jun 23, 2005
- Last updated
- Sep 11, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01515 | AR | Primary |
Addresses
Primary practice location
2402 Wildwood Ave
Suite 402
Sherwood, AR 72120-5084
Mailing address
2402 Wildwood Ave
Suite 402
Sherwood, AR 72120-5084
Phone (501) 992-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145853758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01515 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Cabot Family Medicine PA | 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.
-
- Legal Medicine
- Cabot, AR
- NPI 1750488953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1467458539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 WILDWOOD AVE",
"address_2": "SUITE 402",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205084",
"telephone_number": "501-992-1910",
"fax_number": "501-992-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 WILDWOOD AVE",
"address_2": "SUITE 402",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205084",
"telephone_number": "501-992-1910",
"fax_number": "501-992-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKENS",
"first_name": "SHARON",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145853758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.