Sharon P Page, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN 12549 Issued in TN

Practice address

215 Hawks Rd
Suite 3
Martin, TN 38237-2708

Phone

(731) 681-1577

Fax

(731) 681-1532

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Martin Children'S Clinic, LLC

  • Rural Health Clinic/Center
  • Martin, TN
  • NPI 1194049064

  Pediatrics, TN

  Medicare reassignment NPD Authorized official
• Eyecare Center, LLC

  • Optometrist
  • Martin, TN
  • NPI 1003082058
  NPD (past)
• Martin Pediatric and Adolescent Clinic, PC

  • Pediatric Adolescent Medicine Physician
  • Martin, TN
  • NPI 1649314501
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1497898407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD",
            "address_2": "SUITE 3",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372708",
            "telephone_number": "731-681-1577",
            "fax_number": "731-681-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD",
            "address_2": "SUITE 3",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372708",
            "telephone_number": "731-681-1577",
            "fax_number": "731-681-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "SHARON",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN 12549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "APN 12549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "RN 105799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Tennessee Human Resource Agency
• Northwest Tennessee Human Resource Agency
• Nwthra
• Alayna Shae Owens, PHARM D
• Alle Page
• Nikhil R Patel, M.D.
• Carrie Jean Patrick
• Performance Chiropractic
• Casey Miller Perkins, OTR/L
• Deett P. Perry, LPN

• All providers in Martin, TN
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.

Verify at the official NPI Registry.