Active NPI
Sharlene Carol Banks, MSN,CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- North Vernon, IN
National Provider Identifier
1750527271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 71002832B
- Practice address
- 257 E Main St
North Vernon, IN 47265-1510 - Phone
- (812) 346-2872
- Fax
- (812) 346-4172
- NPI assigned
- Jan 6, 2009
- Last updated
- Feb 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 28058096A | IN | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 71002832B | IN | Primary |
Addresses
Primary practice location
257 E Main St
North Vernon, IN 47265-1510
Mailing address
PO Box 475
North Vernon, IN 47265-0475
Phone (812) 346-2872
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
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28058096A | IN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
| 71002832B | IN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Indiana Mental Health Professionals, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- North Vernon, IN
- NPI 1598123028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1750527271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 475",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472650475",
"telephone_number": "812-346-2872",
"fax_number": "812-346-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 E MAIN ST",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472651510",
"telephone_number": "812-346-2872",
"fax_number": "812-346-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "SHARLENE",
"middle_name": "CAROL",
"credential": "MSN,CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "28058096A",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "71002832B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Vernon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.