Active NPI
Sharon Buller, R.N.
- Registered Nurse
- Salem, OR
National Provider Identifier
1578822110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 094000379
- Practice address
- 1631 Water St NE Apt 39
Salem, OR 97301-0766 - Phone
- (503) 588-7886
- Fax
- (503) 585-0911
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 094000379 | OR | Primary |
Addresses
Primary practice location
1631 Water St NE Apt 39
Salem, OR 97301-0766
Mailing address
1631 Water St NE Apt 39
Salem, OR 97301-0766
Phone (503) 588-7886
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094000379 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1578822110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 WATER ST NE APT 39",
"city": "SALEM",
"state": "OR",
"postal_code": "973010766",
"telephone_number": "503-588-7886",
"fax_number": "503-588-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 WATER ST NE APT 39",
"city": "SALEM",
"state": "OR",
"postal_code": "973010766",
"telephone_number": "503-588-7886",
"fax_number": "503-585-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLER",
"first_name": "SHARON",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "094000379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.