Individual provider Active NPI

Sharon Byrd, APRN

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1477958114
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004056 Issued in AR
Practice address
107 E Monte Painter Dr
Fayetteville, AR 72703-4002
Phone
(479) 463-7000
Fax
(479) 587-8421
NPI assigned
Oct 23, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004056 AR Primary

Addresses

Primary practice location

107 E Monte Painter Dr
Fayetteville, AR 72703-4002

Mailing address

19251 Highway 295
Huntsville, AR 72740-6262
Phone (479) 456-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306001012 AR Practitioner - Nurse Practitioner 2860446861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2125 E Main St
12 Renal Specialists of Northwest Arkansas
Siloam Springs, AR 72761-5576
Phone (479) 524-5214

813 Founders Park Dr E
Suite 101
Springdale, AR 72762-6321
Phone (479) 463-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004056ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Jan 31, 2015 Accepting new patients
Washington Regional Medical System CurrentSince Jan 31, 2015 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System Past Accepting new patients
Washington Regional Medical Center Past Accepting new patients

Locations

107 E Monte Painter Dr
Fayetteville, AR 72703
Phone (479) 463-7000

12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746

813 Founders Park Dr E
Ste 203
Springdale, AR 72762
Phone (479) 463-2440

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1477958114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 HIGHWAY 295",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727406262",
            "telephone_number": "479-456-2975",
            "fax_number": "479-587-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MONTE PAINTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034002",
            "telephone_number": "479-463-7000",
            "fax_number": "479-587-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.