Individual provider Active NPI

Sharon Anderson, CRNP

  • Family Nurse Practitioner
  • Cheverly, MD
National Provider Identifier
1598044026
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R135181 Issued in MD
Practice address
6490 Landover Rd
Suite # G
Cheverly, MD 20785-1443
Phone
(301) 322-1117
Fax
(301) 322-1757
NPI assigned
Aug 15, 2011
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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 RN65927 DC
Family Nurse Practitioner 363LF0000X R135181 MD Primary

Addresses

Primary practice location

6490 Landover Rd
Suite # G
Cheverly, MD 20785-1443

Mailing address

6490 Landover Rd
Suite # G
Cheverly, MD 20785-1443
Phone (301) 322-1117

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R135181MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheverly Primary Care, Inc. Current Accepting new patients

Locations

6490 Landover Rd
Ste G
Cheverly, MD 20785
Phone (301) 322-1117

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16629/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sharon.anderson.1@16629.direct.athenahealth.com

Organizations & group practices 1

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1598044026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD",
            "address_2": "SUITE # G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "301-322-1117",
            "fax_number": "301-322-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD",
            "address_2": "SUITE # G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "301-322-1117",
            "fax_number": "301-322-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARON",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN65927",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R135181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.