Individual provider Active NPI

Sharon Lynne Sedgeley, N.P.

  • Adult Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1669613758
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
47189 Issued in CO
Practice address
260 S Kipling St
Lakewood, CO 80226-1086
Phone
(303) 239-7119
Fax
(303) 239-7088
NPI assigned
Mar 18, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 47189 CO Primary

Addresses

Primary practice location

260 S Kipling St
Lakewood, CO 80226-1086

Mailing address

260 S Kipling St
Lakewood, CO 80226-1086
Phone (303) 239-7119

Other identifiers 1

IdentifierTypeStateIssuer
27277500MedicaidCO

Other names 1

  • Ms. Sharon Lynne Leonard Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
47189COMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1669613758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261086",
            "telephone_number": "303-239-7119",
            "fax_number": "303-239-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261086",
            "telephone_number": "303-239-7119",
            "fax_number": "303-239-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGELEY",
        "first_name": "SHARON",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "47189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27277500",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "LEONARD",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.