Active NPI
Marissa Michelle Sharp
- Home Health Aide
- Knoxville, TN
National Provider Identifier
1902425366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- L000000024922
- Practice address
- 6224 Western Avenue
Knoxville, TN 37921 - Phone
- (865) 588-3828
- Fax
- (865) 588-3828
- NPI assigned
- Apr 15, 2020
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | L000000024922 | TN | Primary |
Addresses
Primary practice location
6224 Western Avenue
Knoxville, TN 37921
Mailing address
P.O. Bix 50126
Knoxville, TN 37950
Phone (865) 588-3828
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 |
|---|---|---|---|
| L000000024922 | TN | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1902425366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BIX 50126",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37950",
"telephone_number": "865-588-3828",
"fax_number": "865-855-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6224 WESTERN AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37921",
"telephone_number": "865-588-3828",
"fax_number": "865-588-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "MARISSA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TN",
"license": "L000000024922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.