Active NPI
Sharon A Rederford, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Reno, NV
National Provider Identifier
1891870614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN002438
- Practice address
- 3732 Lakeside Dr Ste 202
Reno, NV 89509-4519 - Phone
- (775) 626-0974
- Fax
- (775) 470-6636
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN002438 | NV | Primary |
Addresses
Primary practice location
3732 Lakeside Dr Ste 202
Reno, NV 89509-4519
Mailing address
3732 Lakeside Dr
Ste 202
Reno, NV 89509-4519
Phone (775) 376-8274
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891870614 | Medicaid | WA | |
| 9635186 | Medicaid | WA | |
| 4098 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 1891870614 | Other | WA | PSYCHIATRIY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002438 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1891870614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 LAKESIDE DR",
"address_2": "STE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895094519",
"telephone_number": "775-376-8274",
"fax_number": "775-470-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3732 LAKESIDE DR STE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895094519",
"telephone_number": "775-626-0974",
"fax_number": "775-470-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDERFORD",
"first_name": "SHARON",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APRN002438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891870614",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9635186",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "4098",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIY",
"identifier": "1891870614",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.