Active NPI
Sharon Weirick, A.P.R.N., C.N.P.
- Pediatric Clinical Nurse Specialist
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 46889
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200055950A | Medicaid | OK |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46889 | OK | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Konawa, OK
- NPI 1831291293
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.