Individual provider Active NPI

Sharon A Rosemond, NP

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1659049112
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R147815 Issued in MD
Practice address
3311 Toledo Ter Ste B102
Hyattsville, MD 20782-8146
Phone
(301) 559-3500
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP0961076 DC
Registered Nurse 163W00000X RN961076 DC
Registered Nurse 163W00000X R147815 MD
Family Nurse Practitioner 363LF0000X 11025839 FL
Family Nurse Practitioner 363LF0000X NP0961076 VA
Family Nurse Practitioner 363LF0000X 1112441 TX
Family Nurse Practitioner 363LF0000X R147815 MD Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B102
Hyattsville, MD 20782-8146

Mailing address

1202 Evans Rd Apt 2222
San Antonio, TX 78258-6978
Phone (301) 351-8727

Other practice location 1

730 Isom Road
San Antonio, TX 78216
Phone (833) 937-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107004237 TX Practitioner - Nurse Practitioner 6204229883 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN961076DCMDRegistered Nurse
NP0961076DCMDFamily Nurse Practitioner
11025839FLMDFamily Nurse Practitioner
R147815MDMDFamily Nurse Practitioner
NP0961076VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Oct 29, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 29, 2024 Accepting new patients
Texas Health Action PastSince Feb 1, 2024 Accepting new patients

Locations

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15777/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1659049112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 EVANS RD APT 2222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586978",
            "telephone_number": "301-351-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B102",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-559-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Isom Road",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78216",
            "country_code": "US",
            "telephone_number": "833-937-5463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEMOND",
        "first_name": "SHARON",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP0961076",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN961076",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R147815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "NP0961076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R147815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.