Active NPI
Sereen Danielle Sharp, MD
- Internal Medicine Physician
- Hibbing, MN
National Provider Identifier
1962666461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51441
- Practice address
- 3605 Mayfair Avenue
Hibbing, MN 55746 - Phone
- (218) 262-3441
- Fax
- (218) 362-6989
- NPI assigned
- Jul 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51441 | MN | Primary |
Addresses
Primary practice location
3605 Mayfair Avenue
Hibbing, MN 55746
Mailing address
3605 Mayfair Avenue
Hibbing, MN 55746
Phone (218) 262-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18671 | Other | MN | RESIDENCY PERMIT |
Other names 1
- Sereen Olsen
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1962666461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 MAYFAIR AVENUE",
"city": "HIBBING",
"state": "MN",
"postal_code": "55746",
"telephone_number": "218-262-3441",
"fax_number": "218-362-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 MAYFAIR AVENUE",
"city": "HIBBING",
"state": "MN",
"postal_code": "55746",
"telephone_number": "218-262-3441",
"fax_number": "218-362-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "SEREEN",
"middle_name": "DANIELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "51441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENCY PERMIT",
"identifier": "18671",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SEREEN",
"last_name": "OLSEN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.