Sharity Anderson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.030400 Issued in IL

Practice address

16329 Brementowne Dr
Tinley Park, IL 60477-1617

Phone

(708) 860-3001

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pavilion FoundationGroup PAC ID 7911043740, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pavilion Foundation

  • Psychiatric Hospital
  • Champaign, IL
  • NPI 1518930619
  Medicare reassignment Care Compare group NPD
• Curative Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tinley Park, IL
  • NPI 1851242390
  Medicare reassignment NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1609600683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16329 BREMENTOWNE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771617",
            "telephone_number": "708-860-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16329 BREMENTOWNE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771617",
            "telephone_number": "708-860-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARITY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.030400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Drug Stores LLC (Osco Drug #3165)
• Jimella Ameyaw
• Amy Amanda Prusak (Lift Every Voice)
• Carol L Anderson, PSY.D.
• Mary Deneen Anderson, MSN, APRN, PMHNP-BC
• William Anderson
• Alan Androun, PA-C
• Anwar Alan Androun, PA-C
• Anesthesia Assoc of Northeast Illinois
• Nicholas A Angelopoulos, DO

• Psychiatric/Mental Health Nurse Practitioner in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.