Individual provider Active NPI

Nicole Ann Sharp, CNP

  • Pediatric Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1639508591
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA.14924-NP Issued in OH
Practice address
11100 Euclid Avenue
Cleveland, OH 44106
Phone
(440) 914-7840
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X COA.14924-NP OH Primary
Registered Nurse 163W00000X RN.326779 OH

Addresses

Primary practice location

11100 Euclid Avenue
Cleveland, OH 44106

Mailing address

34055 Solon Rd
Solon, OH 44139-2662
Phone (450) 914-7840

Other identifiers 1

IdentifierTypeStateIssuer
0093594MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20131119001897 OH Practitioner - Nurse Practitioner 0042446122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.326779OHMDRegistered Nurse
COA.14924-NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

1000 Auburn Dr
Ste 210
Beachwood, OH 44122
Phone (440) 743-8139

1000 Auburn Dr
Ste 200
Beachwood, OH 44122
Phone (216) 285-5133

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
#5
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

730 Som Center Rd
Ste 130
Mayfield Village, OH 44143

4001 Carrick Dr
Ste 220
Medina, OH 44256
Phone (330) 721-8522

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-4800

960 Clague Rd
Ste 3110
Westlake, OH 44145
Phone (440) 250-2460

Interoperability endpoints

  • Direct secure messaging: nsharp27929@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1639508591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34055 SOLON RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392662",
            "telephone_number": "450-914-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "440-914-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.14924-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.326779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.