NPIMap

Individual provider Active NPI

Sharon Peart, PAS

  • Registered Nurse
  • New York, NY
National Provider Identifier
1942691092
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
067-R-1315 Issued in GA
Practice address
750 3Rd Ave
New York, NY 10017-2703
Phone
(866) 926-0035
Fax
(646) 867-7272
NPI assigned
Feb 11, 2015
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 067-R-1315 GA
Health Service Psychologist 103TH0100X 067-R-1315 GA
Adult Companion 372600000X 067-R-1315 GA
Personal Care Attendant 3747P1801X 067-R-1315 GA
Home Health Aide 374U00000X 067-R-1315 GA
Nurse's Aide 376K00000X 067-R-1315 GA
Student in an Organized Health Care Education/Training Program 390200000X 067-R-1315 GA
Registered Nurse 163W00000X 067-R-1315 GA Primary
Home Health Registered Nurse 163WH0200X 067-R-1315 GA
Pediatric Registered Nurse 163WP0200X 067-R-1315 GA
Speech-Language Pathologist 235Z00000X 067-R-1315 GA

Addresses

Primary practice location

750 3Rd Ave
New York, NY 10017-2703

Mailing address

3296 Highpoint CT
Snellville, GEORGIA 30078
UM

Other identifiers 3

IdentifierTypeStateIssuer
222113344346MedicaidGA
111161011110MedicaidGA
111832334799MedicaidGA

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

LicenseStateTypeSpecialty
067-R-1315GAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sillah Group Home, Inc Current Accepting new patients

Locations

14 Wall St
New York, NY 10005
Phone (212) 227-0272

Organizations & group practices 192

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.

View all 192

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1942691092",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3296 HIGHPOINT CT",
            "city": "SNELLVILLE",
            "state": "GEORGIA",
            "postal_code": "30078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172703",
            "telephone_number": "866-926-0035",
            "fax_number": "646-867-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEART",
        "first_name": "SHARON",
        "credential": "PAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "067-R-1315",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "067-R-1315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222113344346",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111161011110",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111832334799",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.