Individual provider Active NPI

Yvonne Sanford Sharp

  • Social Worker
  • Detroit, MI
National Provider Identifier
1710428719
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802083728 Issued in MI
Practice address
8600 Woodward Ave
Detroit, MI 48202-2142
Phone
(313) 875-7601
Fax
(313) 871-1891
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802083728 MI Primary
Licensed Practical Nurse 164W00000X 4703104164 MI

Addresses

Primary practice location

8600 Woodward Ave
Detroit, MI 48202-2142

Mailing address

36184 Oakwood LN
Westland, MI 48186-8234

Other practice location 1

36184 Oakwood Ln
Westland, MI 48186-8234
Phone (734) 394-6885

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

LicenseStateTypeSpecialty
6802083728MIMDSocial Worker
4703104164MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1710428719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36184 OAKWOOD LN",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481868234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022142",
            "telephone_number": "313-875-7601",
            "fax_number": "313-871-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36184 Oakwood Ln",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481868234",
            "country_code": "US",
            "telephone_number": "734-394-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD SHARP",
        "first_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802083728",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703104164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.