Individual provider Active NPI

Sharon Louise Reardon Reeves, MN,BSN,APRN

  • Adult Health Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1982979084
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN1628 Issued in SC
Practice address
118 Park Ave SW Ste 100
Aiken, SC 29801-2417
Phone
(803) 641-0049
Fax
(803) 641-0810
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN1628 SC Primary

Addresses

Primary practice location

118 Park Ave SW Ste 100
Aiken, SC 29801-2417

Mailing address

118 Park Ave SW Ste 100
Aiken, SC 29801-2417
Phone (803) 641-0049

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
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN1628SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics and Gynecology Services of Augusta PC Past Accepting new patients
Barry L Thompson Past Accepting new patients

Organizations & group practices 2

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1982979084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PARK AVE SW STE 100",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012417",
            "telephone_number": "803-641-0049",
            "fax_number": "803-641-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARK AVE SW STE 100",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012417",
            "telephone_number": "803-641-0049",
            "fax_number": "803-641-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON REEVES",
        "first_name": "SHARON",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MN,BSN,APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.