Individual provider Active NPI

Sharon L Bistodeau, RN

  • General Practice Registered Nurse
  • Sandpoint, ID
National Provider Identifier
1538087077
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
N-22449 Issued in ID
Practice address
794 Wild Turkey Rd
Sandpoint, ID 83864-9537
Phone
(208) 265-2437
NPI assigned
Jul 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X N-22449 ID Primary

Addresses

Primary practice location

794 Wild Turkey Rd
Sandpoint, ID 83864-9537

Mailing address

794 Wild Turkey Rd
Sandpoint, ID 83864-9537
Phone (208) 265-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1538087077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 WILD TURKEY RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838649537",
            "telephone_number": "208-265-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 WILD TURKEY RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838649537",
            "telephone_number": "208-265-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTODEAU",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ID",
            "license": "N-22449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.