Individual provider Active NPI

Sharon McKinney Jaquith, APN

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1760677488
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9289820 Issued in FL
Practice address
3717 Meggison Rd
The Villages, FL 32163-3024
Phone
(523) 995-5573
Fax
(484) 450-2617
NPI assigned
Sep 6, 2007
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 432935 TX
Family Nurse Practitioner 363LF0000X 9289820 FL Primary

Addresses

Primary practice location

3717 Meggison Rd
The Villages, FL 32163-3024

Mailing address

3717 Meggison Rd
The Villages, FL 32163-3024
Phone (523) 995-5573

Other identifiers 2

IdentifierTypeStateIssuer
1760677488MedicaidTX
432935OtherTXLICENSE

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9289820FLMDFamily Nurse Practitioner
432935TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients
LRMC Urgent Care Center Past Accepting new patients
Pioneer Emergency Medicine Associates PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1760677488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MEGGISON RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321633024",
            "telephone_number": "523-995-5573",
            "fax_number": "484-450-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MEGGISON RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321633024",
            "telephone_number": "523-995-5573",
            "fax_number": "484-450-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUITH",
        "first_name": "SHARON",
        "middle_name": "MCKINNEY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "432935",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9289820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760677488",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "432935",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.