HEATHER NICOLE SHARP


Address: 1200 West State Street, Rockford, IL 61102-2112
Phone: 8154901600

HEATHER NICOLE SHARP (NPI# 1750675872) 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) 1750675872
Entity Type Individual
Full Name HEATHER NICOLE SHARP
Credential CPNP
Practice Address 1200 West State Street
Rockford
IL 61102-2112
Mailing Address 1200 W State St
Rockford
IL 61102-2112
Practice Telephone 8154901600
Practice Fax Number 8154901881
Mailing Telephone 8154901600
Mailing Fax Number 8154901881
Enumeration Date 2011-06-06
Last Update Date 2011-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209.008830 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers HEATHER SHARP

NPI Name Taxonomy Address Enumeration
1285265413 Heather Mae Sharp Behavior Technician 3101 Lathrop St, Fairbanks, AK 99701-7426 2020-01-27
1437664752 Heather Nichole Sharp Counselor 2801 C Ct, Ashtabula, OH 44004-4577 2017-12-08
1184171431 Heather Sharp Nurse Practitioner 1391 W 5th Ave, Ste 260, Columbus, OH 43212-2902 2016-09-03
1053769463 Heather Tramel Sharp Family Medicine 10503 San Jose Blvd, Jacksonville, FL 32257-6295 2016-05-25
1699168039 Heather Sharp Case Manager/Care Coordinator 1217 Stone St, Jonesboro, AR 72401-4520 2015-03-10
1073898680 Heather Lynnea Sharp Physician Assistant 455 N Highland Park Ave, Chattanooga, TN 37404-2016 2011-10-14
1073504239 Heather A Sharp Family Medicine 215 S Parkside Dr Ste 215, Colorado Springs, CO 80910-3131 2005-11-04

Office Location

Street Address 1200 WEST STATE STREET
City ROCKFORD
State IL
Zip Code 61102-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407309941 Amanda Macke Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2016-08-02
1730166323 Crusader Central Clinic Association Dentist 1200 West State Street, Rockford, IL 61102-2112 2005-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205115383 Renee Lynn Keeney Advanced Practice Midwife 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 2011-08-08
1689895906 Linda Lou O'reilly Local Education Agency (LEA) 1515 S. Meridian Road, Rockford, IL 61102 2007-05-02
1801012992 Jennifer Anne Boyd Developmental Therapist Nia 1515 S. Meridian Rd., Rockford, IL 61102 2007-04-17
1447751623 Cynthia Uwase Dentist 1200 W State St, Rockford, IL 61102 2018-02-23
1033591847 Jithinraj Edakkanambeth Varayil Family Medicine 1200 W State St, Rockford, IL 61102 2015-06-29
1194106849 Naomi Thompson Family Medicine 1200 W State St, Rockford, IL 61102 2015-06-17
1811377617 Serene Antoinette Bethune Family Medicine 1200 W State St, Rockford, IL 61102 2015-06-05
1013188408 Gary Patrick Fernando Pediatrics 1200 W State St, Rockford, IL 61102 2008-03-13
1265602130 Martin A Ganan Pharmacist 1200 W State St, Pharmacy, Rockford, IL 61102 2008-03-07
1609173434 Kellie J Gibbons Registered Nurse 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 2011-02-14
Find all providers in zip 61102

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952387789 Lori Lynn Thompson Nurse Practitioner 826 N Main St, Rockford, IL 61103-6906 2005-12-22
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1043850068 Lauren E Bell Nurse Practitioner 8201 E Riverside Blvd, Rockford, IL 61114-2300 2020-01-07
1043785793 Rachel Lee Danks Nurse Practitioner 6861 Villagreen Vw, Rockford, IL 61107-5639 2018-10-09
1114464765 Amanda M Bustle Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2017-01-20
1407309941 Amanda Macke Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2016-08-02
1316304744 Kristin Vanderwell Nurse Practitioner 6050 Northland Dr Ne Ste 200, Rockford, MI 49341 2016-01-15
1982004461 Jennifer Helen Benters Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2014-09-03
1023446770 Kerin Cummins Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2013-10-16
1891942710 Shannon M Krueger Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2008-08-21
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61102

Improve Information

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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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