Individual provider Active NPI

Sharon Londeree, FNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1649792698
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R110087 Issued in MD
Practice address
9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046
Phone
(443) 899-9525
Fax
(833) 261-4342
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R110087 MD Primary

Addresses

Primary practice location

9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046

Mailing address

9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046-3458
Phone (443) 899-9525

Other practice location 1

9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046
Phone (443) 899-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190619002502 MD Practitioner - Nurse Practitioner 4385984749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

28522 Marlboro Ave
Suite C
Easton, MD 21601-2792
Phone (443) 746-0086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Premier Health Express and Advanced Diagnostics Inc PastSince Mar 13, 2020 Accepting new patients

Locations

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

Organizations & group practices 3

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1649792698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463458",
            "telephone_number": "443-899-9525",
            "fax_number": "833-261-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "443-899-9525",
            "fax_number": "833-261-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9710 Patuxent Woods Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "21046",
            "country_code": "US",
            "telephone_number": "443-899-9525",
            "fax_number": "833-261-4342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDEREE",
        "first_name": "SHARON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R110087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.