Amy Heath Sharp Patenaude, MA, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1189 Issued in FL

Practice address

2908 W Angeles St
Tampa, FL 33629-6002

Phone

(813) 482-7928

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Heath Sharp Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1992030290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 W ANGELES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296002",
            "telephone_number": "813-482-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W ANGELES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296002",
            "telephone_number": "813-482-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123803",
            "country_code": "US",
            "telephone_number": "813-974-6142",
            "fax_number": "813-558-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "AMY",
        "middle_name": "HEATH SHARP",
        "name_prefix": "Ms.",
        "credential": "MA, ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2908 W Angeles St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336296002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHARP",
            "middle_name": "HEATH",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vrunda Haresh Patel
• Yagneshvari S. Patel, D.O.
• Yesha R Patel
• Veronica Patella
• Theophilos Patellis, M.D.
• Brianna Elizabeth Patenaude, LCSW
• Anthony Nicholas Paterra, DO
• Casey Paterson
• Kim Marie Patey, AP
• Path Medical, LLC

• School Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.