Individual provider Active NPI

Dawn Sharlow, FNP, B-C

  • Family Nurse Practitioner
  • Malone, NY
National Provider Identifier
1922294347
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343070 Issued in NY
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

Updated by the provider on Jul 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
491059NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center CurrentSince Jun 25, 2018 Accepting new patients
Statline Medical PC CurrentSince Jun 1, 2021 Accepting new patients
Hospice of St Lawrence Valley Inc CurrentSince Oct 28, 2019 Accepting new patients
Alice Hyde Medical Center PastSince Jun 25, 2018 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.

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

Verify at the official NPI Registry.