Organization Active NPI

Sharon Vitale PA

Doing business as Mobile Wound and Skin Practitioners

  • Adult Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1508503756
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
SHARON VITALE PA
Doing business as
Mobile Wound and Skin Practitioners
Practice address
13515 155TH PL N
Jupiter, FL 33478-8576
Phone
(561) 427-5531
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Sharon VitaleNPI 1124383658
Title
Manager
Phone
(561) 427-5531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

13515 155TH PL N
Jupiter, FL 33478-8576

Mailing address

13515 155TH PL N
Jupiter, FL 33478-8576
Phone (561) 427-5531

Other identifiers 1

IdentifierTypeStateIssuer
114633300MedicaidFL

Other names 1

  • Mobile Wound and Skin Practitioners Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SHARONARNP@GMAIL.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220628000725 FL Part B Supplier - Clinic/Group Practice 6305225921 Receives reassigned benefits from 2 practitioners
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEGCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1508503756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 155TH PL N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334788576",
            "telephone_number": "561-427-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 155TH PL N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334788576",
            "telephone_number": "561-427-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON VITALE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-427-5531"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114633300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SHARONARNP@GMAIL.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13515 155th Pl N",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334788576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mobile Wound and Skin Practitioners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Wound and Skin Practitioners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.