Active NPI
Dawn Sharlow, FNP, B-C
- Family Nurse Practitioner
- Malone, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343070
- Practice address
- 183 Park St Ste 3
Malone, NY 12953 - Phone
- (518) 481-2893
- NPI assigned
- Sep 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 491059 | NY | |
| Family Nurse Practitioner | 363LF0000X | 343070 | NY | Primary |
Addresses
Primary practice location
183 Park St Ste 3
Malone, NY 12953
Mailing address
1155 Sykes Rd
Canton, NY 13617-5300
Phone (315) 212-6627
Other practice location 1
19 Hodskin St
Canton, NY 13617-1175
Phone (315) 379-1445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725000079 | NY | Practitioner - Nurse Practitioner | 5193072940 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491059 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Statline Medical PC | Current | Accepting new patients | |
| Hospice of St Lawrence Valley Inc | Current | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Homemakers of Western New York | Past | Accepting new patients |
Locations
183 Park St
Ste 3
Malone, NY 12953
Phone (518) 481-2893
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800
6884 Maple Ave
Sodus Center, NY 14551
Phone (315) 483-9118
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Canton, NY
- NPI 1255723631
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530403200000",
"number": "1922294347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 SYKES RD",
"city": "CANTON",
"state": "NY",
"postal_code": "136175300",
"telephone_number": "315-212-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 PARK ST STE 3",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-2893"
}
],
"practiceLocations": [
{
"address_1": "19 Hodskin St",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "NY",
"postal_code": "136171175",
"country_code": "US",
"telephone_number": "315-379-1445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARLOW",
"first_name": "DAWN",
"credential": "FNP, B-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2018-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "491059",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.