Individual provider Active NPI

Daphne Kaye Sharpe, DNP, FNP-BC

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1518012350
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5001293 Issued in NC
Practice address
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103-6951
Phone
(336) 277-1800
Fax
(336) 277-6981
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005001293 NC
Nurse Practitioner 363L00000X 5001293 NC Primary

Addresses

Primary practice location

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103-6951

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 277-1800

Other identifiers 2

IdentifierTypeStateIssuer
2593230OtherNCMEDICAIRE PTAN
ZF0000189MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080516000153 NC Practitioner - Nurse Practitioner 6002985132 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005001293NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince May 28, 2021 Accepting new patients
Charlotte Community Health Clinic, Inc. CurrentSince Aug 2, 2023 Accepting new patients
Charlotte Community Health Clinic, Inc. CurrentSince Aug 2, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Top Priority Care Services, LLC. Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

3400 Shamrock Dr
Charlotte, NC 28215
Phone (704) 316-6561

8401 Medical Plaza Dr
Ste 300
Charlotte, NC 28262
Phone (704) 316-1800

3622 Central Ave
Charlotte, NC 28205
Phone (704) 316-6561

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1471 Jag Branch Blvd
Unit 103
Kernersville, NC 27284
Phone (336) 515-7410

305 E Lee Ave
Yadkinville, NC 27055
Phone (336) 679-2661

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1518012350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-277-1800",
            "fax_number": "336-277-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 KIMEL PARK DR",
            "address_2": "STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036951",
            "telephone_number": "336-277-1800",
            "fax_number": "336-277-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "DAPHNE",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "005001293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5001293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAIRE PTAN",
            "identifier": "2593230",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZF0000189",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.