Individual provider Active NPI

Sharon D Baptiste-Brown, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1467785378
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
TP002153H Issued in PA
Practice address
680 Blair Mill Rd
Mail Stop: Pa062-S200
Horsham, PA 19044-2223
Phone
(267) 965-7962
Fax
(888) 816-8109
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X TP002153H PA Primary
Gerontology Nurse Practitioner 363LG0600X LD-0000102 DE

Addresses

Primary practice location

680 Blair Mill Rd
Mail Stop: Pa062-S200
Horsham, PA 19044-2223

Mailing address

PO Box 5891
Newark, DE 19714-5891
Phone (302) 455-0132

Other names 1

  • Sharon Baptiste Brown Professional name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-0000102DEMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1467785378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5891",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197145891",
            "telephone_number": "302-455-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "address_2": "MAIL STOP: PA062-S200",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "267-965-7962",
            "fax_number": "888-816-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE-BROWN",
        "first_name": "SHARON",
        "middle_name": "D",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "TP002153H",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LD-0000102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BROWN",
            "middle_name": "BAPTISTE",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.