Sharyn A Hickey, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

42908 Issued in MA

Practice address

29 Lewis Ave
Fairview Cardiology
GT Barrington, MA 01230-1713

Phone

(413) 854-9777

Fax

(413) 854-9791

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: sharynhickey@bfs.medalliesdirect.net

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1851489264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2752",
            "fax_number": "413-496-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "address_2": "FAIRVIEW CARDIOLOGY",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-854-9777",
            "fax_number": "413-854-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "SHARYN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "42908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114430",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Marie Frye-Moquin, RN, MSW, LICSW, CCM
• Ruth Geller, LMHC
• Lois Gennari, LICSW
• Mani George, MD
• Great Barrington Health Services, Inc.
• Betty Dean Hydon, LICSW
• Amy Carol Ice, MD
• Jay B Kain, PT
• Jane Laning, MSW
• Kimberly A Logan, FNPC

• All providers in GT Barrington, MA
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.