SHARON MARIE HERNDON (NPI# 1558884064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558884064 |
| Entity Type | Individual |
| Full Name | SHARON MARIE HERNDON |
| Credential | MSN, RN, CNP |
| Practice Address |
2230 N Reserve St Ste 402 Missoula MT 59808 |
| Mailing Address |
2230 N Reserve St Ste 402 Missoula MT 59808-1364 |
| Practice Telephone | 4064933110 |
| Mailing Telephone | 4064933110 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NUR-APRN-LIC-126 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1558884064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356660641 | Sharon Kay Herndon | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-05-26 |
| Street Address |
2230 N RESERVE ST STE 402 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902302680 | Kodi Danielle Tall Bull | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808-1364 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| 1740499458 | Patricia Marie Mangan | Physical Therapist | 3055 N Reserve St Ste D, Missoula, MT 59808 | 2007-05-21 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015242 | Arlon Harris Bennett | Nurse Practitioner | 2230 27th Ave Ste 3, Missoula, MT 59804-5128 | 2014-09-08 |
| 1750550943 | Mary E Huddle | Nurse Practitioner | 601 W Spruce St Ste C, Occupational Health Services, St. Patrick Hospital, Missoula, MT 59802-4047 | 2008-02-21 |
| 1598837270 | Diedra Bethune | Nurse Practitioner | 219 East Main St, Missoula, MT 59802 | 2006-11-15 |
| 1053407981 | Shelley Smith Otoupalik | Nurse Practitioner | 7473 Grooms Rd, Missoula, MT 59808-9798 | 2006-10-05 |
| 1255356291 | Benjamin J Miller | Nurse Practitioner | 2120 S Reserve St # 133, Missoula, MT 59801-6451 | 2006-07-12 |
| 1982672655 | Eric E Edwards | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2006-03-09 |
| 1174154108 | Heidi Lynn Waits | Nurse Practitioner | 2875 Tina Ave, Missoula, MT 59808-1581 | 2020-01-29 |
| 1205394764 | Maria Kelly | Nurse Practitioner | 2901 Brooks St, Missoula, MT 59801-7703 | 2019-03-04 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1811497076 | Marnie Jean Deschamps | Nurse Practitioner | 900 N Orange St Ste 203, Missoula, MT 59802-2951 | 2018-02-14 |
| Find all providers in MISSOULA | ||||
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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.