Individual provider Active NPI

Sharon Eulalee Chambers-Douglas, M.SC.

  • Specialist
  • Bronx, NY
National Provider Identifier
1811334873
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
766479 Issued in NY
Practice address
523 E 236TH St
Bronx, NY 10470-2301
Phone
(718) 881-1552
Fax
(718) 881-1552
NPI assigned
May 31, 2013
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 766479 NY Primary

Addresses

Primary practice location

523 E 236TH St
Bronx, NY 10470-2301

Mailing address

523 E 236TH St
Bronx, NY 10470-2301
Phone (718) 881-1552

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
766479NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1811334873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E 236TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104702301",
            "telephone_number": "718-881-1552",
            "fax_number": "718-881-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 236TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104702301",
            "telephone_number": "718-881-1552",
            "fax_number": "718-881-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS-DOUGLAS",
        "first_name": "SHARON",
        "middle_name": "EULALEE",
        "name_prefix": "Ms.",
        "credential": "M.SC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "766479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.