Sharon Janice Kernen, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1130 Issued in NM

Practice address

9001 Galaxia Way NE
Albuquerque, NM 87111-1440

Phone

(505) 263-8055

Fax

(505) 821-8775

NPI assigned

Oct 27, 2011

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)

Enrolled

Credentials

Doctor of Philosophy

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.

• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1508142019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 GALAXIA WAY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111440",
            "telephone_number": "505-263-8055",
            "fax_number": "505-821-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 GALAXIA WAY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111440",
            "telephone_number": "505-263-8055",
            "fax_number": "505-821-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNEN",
        "first_name": "SHARON",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Leigh Kern, NP
• Joseph D Kern, M.D.
• Laura Kern, LCSW
• Leslie Kern, RN
• Terry Kern, PT
• Aidan Patrick Kerr, M.D.
• Nancy L. Kerr, MD
• Olivia Luxanna Mariah Kerr, RBT
• Ryan Kerr
• Stephen John Kerr, PT

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.