Kelley J Sharp, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN6660 Issued in TN

Practice address

207 E Rickert Ave
Dickson, TN 37055-1333

Phone

(615) 260-5589

Fax

(615) 446-0259

NPI assigned

May 24, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelley.sharp.1@29297.direct.athenahealth.com

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

• Sharp Pediatrics LLC

  • Rural Health Clinic/Center
  • Dickson, TN
  • NPI 1396509758

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1629071691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E RICKERT AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551333",
            "telephone_number": "615-260-5589",
            "fax_number": "615-446-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E RICKERT AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551333",
            "telephone_number": "615-260-5589",
            "fax_number": "615-446-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KELLEY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN6660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4058108",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081360",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "500014527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Craig Settle, LPC/MHSP
• Megan Shade
• Viren Jashvantlal Shah, M.D.
• Sharon Elizabeth Sharber, FNP-BC
• Sharp Pediatrics LLC
• Cameron Shearer
• Shelley Ann Sigur DDS PC
• Susan A. Shepard, D PH.
• Morgan Sherrill, BCBA, LBA
• Kristen Shouse

• Pediatric Nurse Practitioner in Dickson, TN
• Providers in Dickson, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.