PAMELA SHARPE FNP
Complete NPI Record 1679093850
Nurse Practitioner in Cincinnati, OH
Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
Complete NPI Dataset
This page contains the complete raw NPPES record for Pamela Sharpe, FNP (NPI 1679093850), an individual nurse practitioner provider in Cincinnati, OH. All 44 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1679093850 Field 1/44
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/44
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: SHARPE Field 3/44
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: PAMELA Field 4/44
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: FNP Field 5/44
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 1 CHILDRENS PLZ Field 6/44
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DAYTON Field 7/44
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH Field 8/44
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 454041815 Field 9/44
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/44
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9376413555 Field 11/44
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 9775 COLERAIN AVE Field 12/44
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CINCINNATI Field 13/44
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OH Field 14/44
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 452511442 Field 15/44
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/44
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5138539700 Field 17/44
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5138528971 Field 18/44
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 21/44
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 22/44
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 28242617A Field 23/44
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: IN Field 24/44
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/44
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 363L00000X Field 26/44
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: APRNCNP022606 Field 27/44
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: OH Field 28/44
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 29/44
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 363LF0000X Field 30/44
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 3: APRN.CNP.022606 Field 31/44
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 3: OH Field 32/44
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 33/44
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 0383163 Field 34/44
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 35/44
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: OH Field 36/44
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 2: 0320009 Field 37/44
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 05 Field 38/44
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: OH Field 39/44
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 3: 201213770A Field 40/44
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 3: 05 Field 41/44
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 3: IN Field 42/44
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Sole Proprietor: N Field 43/44
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
7787 Cox Ln
Location 1/13West Chester, OH 45069-6549 · Phone (937) 641-5757 · Fax (513) 847-1192
8501 Old Troy Pike
Location 2/13Huber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791
3333 W Tech Rd
Location 3/13Miamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050
8809 Wilkens Blvd
Location 4/13Mason, OH 45040-7390 · Phone (937) 641-4999 · Fax (513) 204-0292
10529 Loveland Madeira Rd
Location 5/13Loveland, OH 45140-8963 · Phone (513) 853-9700 ext. 51385 · Fax (513) 853-8965
5403 N Bend Rd
Location 6/13Cincinnati, OH 45247-7620 · Phone (513) 853-9700 · Fax (513) 852-8969
662 N Main St
Location 7/13Springboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797
4605 Montgomery Rd
Location 8/13Norwood, OH 45212-2607 · Phone (513) 853-9700 · Fax (513) 852-8967
4090 E Galbraith Rd
Location 9/13Deer Park, OH 45236-2324 · Phone (513) 853-9700 · Fax (513) 852-8968
12110 Lebanon Rd
Location 10/13Sharonville, OH 45241-1739 · Phone (513) 853-9700 · Fax (513) 852-8970
719 Ohio Pike
Location 11/13Cincinnati, OH 45245-2131 · Phone (513) 853-9700 · Fax (513) 852-8966
1 Childrens Plz
Location 12/13Dayton, OH 45404-1815 · Phone (937) 641-4000 · Fax (937) 641-4500
3301 Dayton Xenia Rd Ste 200
Location 13/13Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395
Other Provider Identifiers 3
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
0383163 Medicaid
Identifier 1/3State: OH
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
0320009 Medicaid
Identifier 2/3State: OH
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
201213770A Medicaid
Identifier 3/3State: IN
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
No registry entries match your active lookup criteria.
