Individual provider Active NPI

Sharon Denise Sallie, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1831882901
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
230301 Issued in LA
Practice address
224 Finks Hideaway Rd Apt 251
Monroe, LA 71203-2371
Phone
(318) 235-9711
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230301 LA Primary

Addresses

Primary practice location

224 Finks Hideaway Rd Apt 251
Monroe, LA 71203-2371

Mailing address

224 Finks Hideaway Rd Apt 251
Monroe, LA 71203-2371
Phone (318) 235-9711

Other names 1

  • Sharon Denise Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240528000026 LA Practitioner - Nurse Practitioner 7214379908 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230301LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Apr 14, 2024 Accepting new patients
Physician Group of Louisiana Inc CurrentSince Apr 14, 2024 Accepting new patients
Hsa Louisiana Physician Group Inc CurrentSince Aug 23, 2025 Accepting new patients

Locations

128 Ridgedale Dr
Ste 1
West Monroe, LA 71291
Phone (318) 329-4419

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Interoperability endpoints

  • Direct secure messaging: sharon.sallie.1@19036.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1831882901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FINKS HIDEAWAY RD APT 251",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032371",
            "telephone_number": "318-235-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 FINKS HIDEAWAY RD APT 251",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032371",
            "telephone_number": "318-235-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLIE",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "230301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SMITH",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.