Active NPI
Sharon Lynn Janco-Plourde, D.C.
- Case Manager/Care Coordinator
- Big Bear Lake, CA
National Provider Identifier
1740317619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 41945 Big Bear Blvd
Suites 221, 222, 223
Big Bear Lake, CA 92315-1927 - Phone
- (909) 866-5070
- Fax
- (909) 878-3228
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Chiropractor | 111N00000X | 17326 | CA |
Addresses
Primary practice location
41945 Big Bear Blvd
Suites 221, 222, 223
Big Bear Lake, CA 92315-1927
Mailing address
PO Box 1927
Big Bear Lake, CA 92315-1927
Phone (909) 866-5070
Other practice location 1
2316 Harrison Ave
Eureka, CA 95501-3217
Phone (707) 444-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0017326 | Medicaid | CA | |
| 17326 | Other | CA | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17326 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1740317619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1927",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151927",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD",
"address_2": "SUITES 221, 222, 223",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151927",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
}
],
"practiceLocations": [
{
"address_1": "2316 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955013217",
"country_code": "US",
"telephone_number": "707-444-3801",
"fax_number": "707-444-3931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANCO-PLOURDE",
"first_name": "SHARON",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17326",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0017326",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "17326",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.