KATHY JO SHARP


Address: 5850 6th Street Frontage Rd E Ste A, Springfield, IL 62703-5194
Phone: 2175295046

KATHY JO SHARP (NPI# 1497391304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497391304
Entity Type Individual
Full Name KATHY JO SHARP
Credential PMHNP
Practice Address 5850 6th Street Frontage Rd E Ste A
Springfield
IL 62703-5194
Mailing Address 4241 Yucan Dr Apt 1b
Springfield
IL 62711-6514
Practice Telephone 2175295046
Practice Fax Number 2175544807
Mailing Telephone 2176223870
Enumeration Date 2019-11-26
Last Update Date 2019-11-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209020474 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHY SHARP

NPI Name Taxonomy Address Enumeration
1225021199 Kathy Lynne Sharp Nurse Practitioner 349 Island Rd, Bristol, VA 24201-7009 2005-08-25

Office Location

Street Address 5850 6TH STREET FRONTAGE RD E STE A
City SPRINGFIELD
State IL
Zip Code 62703-5194

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619179041 Omotola Wasilat Danmole-odimayo Registered Nurse 5850 6th Street Frontage Rd E Ste A, Springfield, IL 62703-5194 2007-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
Find all providers in zip 62703

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
1477178978 Eric Avent Nurse Practitioner 111 5th Ave W Ste 103, Springfield, TN 37172-2428 2020-06-10
1043722770 Mary Catherine Knutson Nurse Practitioner 1201 S 4th St, Springfield, IL 62703-2228 2017-11-03
1922422617 Azuka Ofodike Nurse Practitioner 31 Tooker Pl, Springfield, NJ 07081-2227 2014-02-14
1306117189 Mark Anthony Lynch Nurse Practitioner 7108 Neuman St, Springfield, VA 22150-4419 2012-01-25
1609100973 Cindy Michael Nurse Practitioner 841 E Northern Ave, Springfield, OH 45503-3848 2009-09-18
1811097058 Jain A Lattes Nurse Practitioner 3300 Main St Fl 4, Springfield, MA 01107-1112 2006-09-25
1174540504 Johnson Komolafe Nurse Practitioner 7011 Calamo St, #105, Springfield, VA 22150 2006-07-15
1083648604 Dawn M Vanderhoef Nurse Practitioner 713 Cheatham St, Springfield, TN 37172-2828 2006-07-10
1316992019 Ruben Montanez Nurse Practitioner 1695 Main St Fl 400, Springfield, MA 01103-1063 2006-05-23
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

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.

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