Sharon Geraghty, APRN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

179540 Issued in AK

Practice address

130 Trading Bay Rd Ste 340
Kenai, AK 99611-9116

Phone

(907) 374-0852

Fax

(907) 374-0854

NPI assigned

Nov 8, 2019

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ninilchik VillageGroup PAC ID 9638347149, 11 clinicians

Nurses Diversified Systems IncGroup PAC ID 7517127996, 5 clinicians

Seldovia Village TribeGroup PAC ID 8820072200, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharon.geraghty.1@32541.direct.athenahealth.com

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.

• Ninilchik Village

  dba NTC Community Clinic

  • Community Health Clinic/Center
  • Ninilchik, AK
  • NPI 1609093723
  Medicare reassignment Care Compare group NPD
• Nurses Diversified Systems, Inc

  • Psychiatry Physician
  • Fairbanks, AK
  • NPI 1972873784
  Medicare reassignment Care Compare group NPD
• Seldovia Village Tribe

  • Federally Qualified Health Center (FQHC)
  • Homer, AK
  • NPI 1336178847

  TX

  Medicare reassignment Care Compare group NPD
• Nurses Diversified Systems, Inc

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1831710722
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1881239259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2117",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692117",
            "telephone_number": "907-209-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TRADING BAY RD STE 340",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119116",
            "telephone_number": "907-374-0852",
            "fax_number": "907-374-0854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 2nd Ave Ste 122",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014469",
            "country_code": "US",
            "telephone_number": "907-374-0852",
            "fax_number": "907-374-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERAGHTY",
        "first_name": "SHARON",
        "credential": "APRN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "179540",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "179540",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR15434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Community Services
• Quincy Fuller
• Katherine Gardner, OT
• Kevin Brady Gatlin
• Megan Gatlin
• Kyanna Eileen Germann
• Joanna Francis Gibbons, M.D.
• Darren Gibson
• Sandra R Gilbert
• Randy L Gilliland

• Psychiatric/Mental Health Nurse Practitioner in Kenai, AK
• Providers in Kenai, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.