Active NPI
Jamie Sharp
- Occupational Therapist
- St Augustine, FL
National Provider Identifier
1679281992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23487
- Practice address
- 910 S Winterhawk Dr Unit 107
Saint Augustine, FL 32086-3870 - Phone
- (904) 217-3914
- NPI assigned
- Nov 7, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23487 | FL | Primary |
Addresses
Primary practice location
910 S Winterhawk Dr Unit 107
Saint Augustine, FL 32086-3870
Mailing address
289 N Churchill Dr
Saint Augustine, FL 32086-4169
Phone (302) 299-9340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23487 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ancient City Children's Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- St Augustine, FL
- NPI 1619267671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1679281992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 N CHURCHILL DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320864169",
"telephone_number": "302-299-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S WINTERHAWK DR UNIT 107",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320863870",
"telephone_number": "904-217-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.