Individual provider Active NPI

Sharon Lynn Pearce

  • Community Health Nurse Practitioner
  • Dolgeville, NY
National Provider Identifier
1558736355
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
320085 Issued in NY
Practice address
9 Gibson St
Dolgeville, NY 13329-1203
Phone
(315) 429-8714
Fax
(315) 823-2516
NPI assigned
Dec 4, 2015
Last updated
Dec 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 320085 NY Primary

Addresses

Primary practice location

9 Gibson St
Dolgeville, NY 13329-1203

Mailing address

140 Burwell St
Little Falls, NY 13365-1725
Phone (315) 823-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160325000073 NY Practitioner - Nurse Practitioner 0648577221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
320085NYMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Falls Hospital CurrentSince Jan 4, 2016 Accepting new patients
Little Falls Hospital CurrentSince Jan 4, 2016 Accepting new patients

Locations

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1558736355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651725",
            "telephone_number": "315-823-1000",
            "fax_number": "315-823-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GIBSON ST",
            "city": "DOLGEVILLE",
            "state": "NY",
            "postal_code": "133291203",
            "telephone_number": "315-429-8714",
            "fax_number": "315-823-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "320085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolgeville, NY

Sources for this page

Verify at the official NPI Registry.