Active NPI
Sharon Kaye Burchiel
- Licensed Practical Nurse
- Bellefontaine, OH
National Provider Identifier
1861619777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN050287
- Practice address
- 520 Dakota Rd
Bellefontaine, OH 43311-2347 - Phone
- (937) 592-0885
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN050287 | OH | Primary |
Addresses
Primary practice location
520 Dakota Rd
Bellefontaine, OH 43311-2347
Mailing address
10035 CR 135
Kenton, OH 43326-9134
Phone (419) 673-8340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100354 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN050287 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861619777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10035 CR 135",
"city": "KENTON",
"state": "OH",
"postal_code": "433269134",
"telephone_number": "419-673-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 DAKOTA RD",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112347",
"telephone_number": "937-592-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHIEL",
"first_name": "SHARON",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN050287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100354",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.