Diana Yong Sharp, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

90290 Issued in TN

Practice address

495 Dunlop LN Ste 106
Clarksville, TN 37040-5296

Phone

(808) 369-5606

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1982289518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 DUNLOP LN STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405296",
            "telephone_number": "808-369-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 DUNLOP LN STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405296",
            "telephone_number": "808-369-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "DIANA",
        "middle_name": "YONG",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "90290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90290",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Facility",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "495 Dunlop Ln Ste 106",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370405296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Shaffer
• Jigar Kanubhai Shah, MD
• Maitreyi Shah
• Minesh N Shah, MD
• Kourtney Shann
• Sara N. Sharp, B.S.
• Abigail Shaver
• Charlie Shaw
• Crystal Lynn Shaw, DNP, APRN, FNP-BC
• Marty Shaw

• Licensed Practical Nurse in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.