Individual provider Active NPI

Sharonda Longino, FNP

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1861032757
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95013366 Issued in CA
Practice address
25343 Silver Aspen Way Apt 838
Valencia, CA 91381-0774
Phone
(404) 587-8817
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95013366 CA Primary

Addresses

Primary practice location

25343 Silver Aspen Way Apt 838
Valencia, CA 91381-0774

Mailing address

25343 Silver Aspen Way Apt 838
Valencia, CA 91381-0774
Phone (404) 587-8817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230419002594 CA Practitioner - Nurse Practitioner 9830554120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Dermatology Medical Group IncGroup PAC ID 6709821697, 6 clinicians

Practice addresses (Care Compare)

800 Fairmount Ave
Suite 425
Pasadena, CA 91105-3188
Phone (626) 449-9992

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95013366CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Dermatology Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

800 Fairmount Ave
Ste 425
Pasadena, CA 91105
Phone (626) 449-9992

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00155

Organizations & group practices 1

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1861032757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25343 SILVER ASPEN WAY APT 838",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810774",
            "telephone_number": "404-587-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25343 SILVER ASPEN WAY APT 838",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810774",
            "telephone_number": "404-587-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGINO",
        "first_name": "SHARONDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95013366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.