Active NPI
Sharon Kusne, CRNP
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1669502084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2579
- Practice address
- 500 W Thomas Rd
Suite #980
Phoenix, AZ 85013-4224 - Phone
- (480) 289-6898
- Fax
- (480) 289-6897
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AP2579 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Suite #980
Phoenix, AZ 85013-4224
Mailing address
PO Box 45053
Phoenix, AZ 85064-5053
Phone (480) 289-6898
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WCSKQ | Other | AZ | SUN HEALTH GROUP # |
| 211097 | Medicaid | AZ | |
| P00409983 | Other | AZ | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1669502084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45053",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850645053",
"telephone_number": "480-289-6898",
"fax_number": "480-289-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE #980",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "480-289-6898",
"fax_number": "480-289-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSNE",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH GROUP #",
"identifier": "WCSKQ",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211097",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00409983",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.