Individual provider Active NPI

Justin Matthew Sharpe, APRN

  • Family Nurse Practitioner
  • London, OH
National Provider Identifier
1790191914
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036883 Issued in OH
Practice address
11235 State Route 38 SE
London, OH 43140-9716
Phone
(501) 733-9902
NPI assigned
Jul 8, 2014
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 APRN.CNP.0036883 OH Primary
Family Nurse Practitioner 363LF0000X A004092 AR

Addresses

Primary practice location

11235 State Route 38 SE
London, OH 43140-9716

Mailing address

11235 State Route 38 SE
London, OH 43140-9716
Phone (501) 733-9902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029000249 AR Practitioner - Nurse Practitioner 8628299013 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036883OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Aug 5, 2014 Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Arkansas Health Group CurrentSince Nov 3, 2014 Accepting new patients

Locations

8544 Edgemont Rd
Greers Ferry, AR 72067
Phone (501) 825-6283

1415 Highway 25B
Ste 3
Heber Springs, AR 72543
Phone (501) 362-7538

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11321 Interstate 30
Ste 101
Little Rock, AR 72209
Phone (501) 455-1331

11719 Hinson Rd
Ste 110
Little Rock, AR 72212
Phone (501) 224-2875

500 S University Ave
Ste 321
Little Rock, AR 72205
Phone (501) 664-1272

Organizations & group practices 7

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1790191914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 STATE ROUTE 38 SE",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409716",
            "telephone_number": "501-733-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 STATE ROUTE 38 SE",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409716",
            "telephone_number": "501-733-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036883",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.