Individual provider Active NPI

Sharon J. Downer, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Sacaton, AZ
National Provider Identifier
1619155256
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-0942 Issued in AZ
Practice address
483 W. Seedfarm Rd.
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85247-0038
Phone
(602) 528-7175
Fax
(602) 528-1374
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-0942 AZ Primary

Addresses

Primary practice location

483 W. Seedfarm Rd.
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85247-0038

Mailing address

483 W. Seedfarm Rd.
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85247-0038
Phone (602) 528-7175

Other identifiers 1

IdentifierTypeStateIssuer
346214MedicaidAZ

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

State licenses

LicenseStateTypeSpecialty
LISAC-0942AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1619155256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 W. SEEDFARM RD.",
            "address_2": "HU HU KAM MEMORIAL HOSPITAL",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7175",
            "fax_number": "602-528-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W. SEEDFARM RD.",
            "address_2": "HU HU KAM MEMORIAL HOSPITAL",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7175",
            "fax_number": "602-528-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNER",
        "first_name": "SHARON",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-0942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346214",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacaton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.