Individual provider Active NPI

Sharon Weirick, A.P.R.N., C.N.P.

  • Pediatric Clinical Nurse Specialist
  • Ada, OK
National Provider Identifier
1699933911
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
46889 Issued in OK
Practice address
905 Colony Dr
Ada, OK 74820-2329
Phone
(580) 436-5111
Fax
(580) 436-1159
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 46889 OK Primary

Addresses

Primary practice location

905 Colony Dr
Ada, OK 74820-2329

Mailing address

1414 Arlington St
Suite 1700
Ada, OK 74820-2643
Phone (580) 332-7337

Other practice location 1

1414 Arlington St
Suite 1700
Ada, OK 74820-2643
Phone (580) 332-7337

Other identifiers 1

IdentifierTypeStateIssuer
200055950AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46889OKMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center, Inc. Current Accepting new patients

Locations

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

905 Colony Dr
#A
Ada, OK 74820

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1699933911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ARLINGTON ST",
            "address_2": "SUITE 1700",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202643",
            "telephone_number": "580-332-7337",
            "fax_number": "580-332-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-436-5111",
            "fax_number": "580-436-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Arlington St",
            "address_2": "Suite 1700",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748202643",
            "country_code": "US",
            "telephone_number": "580-332-7337",
            "fax_number": "580-332-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIRICK",
        "first_name": "SHARON",
        "credential": "A.P.R.N., C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "OK",
            "license": "46889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.