Individual provider Active NPI

Sharon Marie Coyer, PHD CPNP APRN

  • Pediatric Clinical Nurse Specialist
  • St Charles, IL
National Provider Identifier
1962666123
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
041-128043 Issued in IL
Practice address
534 Brownstone Dr
St Charles, IL 60174-2807
Phone
(630) 584-5123
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 041-128043 IL Primary

Addresses

Primary practice location

534 Brownstone Dr
St Charles, IL 60174-2807

Mailing address

534 Brownstone Dr
St Charles, IL 60174-2807
Phone (630) 584-5123

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
Credentials
Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
041-128043ILMDPediatric Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1962666123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 BROWNSTONE DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742807",
            "telephone_number": "630-584-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BROWNSTONE DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742807",
            "telephone_number": "630-584-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYER",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "credential": "PHD CPNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IL",
            "license": "041-128043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.