Active NPI
Jessica Bamburg Sharp, F.N.P.
- Family Nurse Practitioner
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APO5017
- Practice address
- 1117 Cheniere Drew Rd
West Monroe, LA 71291-8551 - Phone
- (318) 329-4370
- Fax
- (318) 329-4356
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APO5017 | LA | Primary |
Addresses
Primary practice location
1117 Cheniere Drew Rd
West Monroe, LA 71291-8551
Mailing address
183 Gilmore Rd
West Monroe, LA 71292-0174
Phone (318) 396-6005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
122 Professional Dr
West Monroe, LA 71291-5465
Phone (318) 397-3636
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO5017 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Clinic LLC | Current | Accepting new patients |
Locations
122 Professional Dr
West Monroe, LA 71291
Phone (318) 322-0058
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.
-
- Primary Care Clinic/Center
- West Monroe, LA
- NPI 1265671754
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monroe, LA
- NPI 1205911369
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
dba St. Francis Medical Center Home Health
- Home Health Agency
- Monroe, LA
- NPI 1295782183
-
dba Elara Caring
- Home Health Agency
- Monroe, LA
- NPI 1619041522
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
dba Allegiance Home Health of Northeast Louisiana
- Home Health Agency
- West Monroe, LA
- NPI 1437185055
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629164280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 GILMORE RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712920174",
"telephone_number": "318-396-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 CHENIERE DREW RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918551",
"telephone_number": "318-329-4370",
"fax_number": "318-329-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "JESSICA",
"middle_name": "BAMBURG",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "APO5017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.