Individual provider Active NPI

Sharon Gerette Beautz, RN, CNS

  • Clinical Nurse Specialist
  • Gaithersburg, MD
National Provider Identifier
1649005547
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
CS00126 Issued in MD
Practice address
15704 Ancient Oak Dr
Gaithersburg, MD 20878-3516
Phone
(202) 445-6823
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X CS00126 MD Primary

Addresses

Primary practice location

15704 Ancient Oak Dr
Gaithersburg, MD 20878-3516

Mailing address

15704 Ancient Oak Dr
Gaithersburg, MD 20878-3516
Phone (202) 445-6823

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
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CS00126MDMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1649005547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 ANCIENT OAK DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783516",
            "telephone_number": "202-445-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 ANCIENT OAK DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783516",
            "telephone_number": "202-445-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUTZ",
        "first_name": "SHARON",
        "middle_name": "GERETTE",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MD",
            "license": "CS00126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.