MR. OCTAVIAN SHARP (NPI# 1184938201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184938201 |
| Entity Type | Individual |
| Full Name | MR. OCTAVIAN SHARP |
| Credential | FNP |
| Practice Address |
8001 Centerview Pkwy Ste 215 Cordova TN 38018-4276 |
| Mailing Address |
1101 Professional Blvd Ste 100 Evansville IN 47714-8018 |
| Practice Telephone | 9012495905 |
| Practice Fax Number | 9012495940 |
| Mailing Telephone | 8124777246 |
| Mailing Fax Number | 8124777240 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0000015059 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A810365 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN15059 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 146 Timber Creek Dr, Suite 200, Cordova, TN 380184395 | 9017514112 | 9017519878 |
| Street Address |
8001 CENTERVIEW PKWY STE 215 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073696977 | Glenn Allen Gehrke | Anesthesiology | 8001 Centerview Pkwy Ste 215, Cordova, TN 38018-4276 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1396350542 | Gangagowri Saravanakumar | Nurse Practitioner | 9658 Woodland Run Ln, Cordova, TN 38018-6612 | 2020-09-14 |
| 1285249011 | Sitra Yonis | Nurse Practitioner | 8000 Centerview Pkwy Ste 511, Cordova, TN 38018-4254 | 2020-09-09 |
| 1295358695 | Candace Hightower-parks | Nurse Practitioner | 10238 Old Well Ter, Cordova, TN 38016-0357 | 2020-05-20 |
| 1982235735 | Angela Church | Nurse Practitioner | 1665 Bonnie Ln Ste 101, Cordova, TN 38016-0548 | 2020-01-30 |
| 1083254544 | Cynthia Gaia | Nurse Practitioner | 1574 Cedar Farms Cv, Cordova, TN 38016-6143 | 2020-01-13 |
| 1891349288 | Chelsia Marie Love | Nurse Practitioner | 8960 Gateshead Ln Apt 301, Cordova, TN 38018-4874 | 2019-07-24 |
| 1942867049 | Palmer Medical Services, LLC | Nurse Practitioner | 984 Rocky Point Rd, Cordova, TN 38018-6504 | 2019-05-23 |
| 1992269674 | Phillip Phu Nguyen | Nurse Practitioner | 369 Lida Ln, Cordova, TN 38018-1021 | 2019-01-26 |
| 1922587286 | Allison Leigh Vinograd | Nurse Practitioner | 2257 N Germantown Pkwy Ste 115, Cordova, TN 38016-7412 | 2018-08-08 |
| Find all providers in CORDOVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.