Active NPI
Cynthia Marlene Sharp, APRN-BC
- Family Nurse Practitioner
- Corbin, KY
National Provider Identifier
1871533075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3003795
- Practice address
- 60 Bryan Blvd
Corbin, KY 40701 - Phone
- (606) 528-1172
- Fax
- (606) 528-7169
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3003795 | KY | Primary |
Addresses
Primary practice location
60 Bryan Blvd
Corbin, KY 40701
Mailing address
PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78008521 | Medicaid | KY | |
| P01427265 | Other | KY | RR MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1871533075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021325",
"telephone_number": "606-526-8131",
"fax_number": "606-528-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BRYAN BLVD",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-528-1172",
"fax_number": "606-528-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "CYNTHIA",
"middle_name": "MARLENE",
"credential": "APRN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3003795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78008521",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01427265",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.