Individual provider Active NPI

Sharrie Coburn, PHD COSMETOLOGIST

  • Specialist
  • Cleveland, OH
National Provider Identifier
1710325543
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
COSM975647 Issued in OH
Practice address
170 Richmond Rd
Cleveland, OH 44143-1239
Phone
(440) 525-6755
Fax
(440) 969-6022
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X COSM975647 OH Primary

Addresses

Primary practice location

170 Richmond Rd
Cleveland, OH 44143-1239

Mailing address

170 Richmond Rd
Cleveland, OH 44143-1239
Phone (440) 525-6755

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
COSM975647OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coburn Solutions 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.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1710325543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 RICHMOND RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441431239",
            "telephone_number": "440-525-6755",
            "fax_number": "440-969-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 RICHMOND RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441431239",
            "telephone_number": "440-525-6755",
            "fax_number": "440-969-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "SHARRIE",
        "credential": "PHD COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "COSM975647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.