MS. JACQUELINE MICHELE SHARP (NPI# 1689900169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689900169 |
Entity Type | Individual |
Full Name | MS. JACQUELINE MICHELE SHARP |
Credential | LCMT |
Practice Address |
2204 Arthur Ave Rockford IL 61101-5224 |
Practice Telephone | 8152439366 |
Mailing Telephone | 8152439366 |
Enumeration Date | 2009-10-19 |
Last Update Date | 2009-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 227003425 | IL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114466125 | Jacqueline Sharp | Nurse Practitioner | 8316 Macon Ter, Suie 103, Cordova, TN 38018-8505 | 2017-02-23 |
1225442536 | Jacqueline Jessica Sharp | Pharmacist | 805 S Montgomery Ave, Sheffield, AL 35660-3813 | 2014-06-13 |
1740462472 | Jacqueline K Sharp | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2007-12-05 |
1235353673 | Jacqueline Sharp | Nurse Practitioner | 709 N Dekalb St, Shelby, NC 28150-3911 | 2007-04-13 |
Street Address |
2204 ARTHUR AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61101-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
Find all providers in zip 61101 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053615054 | Lisa Diane Kehoe | Specialist | 1745 Williamsburg Rd, Rockford, IL 61107-2445 | 2011-01-05 |
1134445489 | Sanford Bruce Mer | Specialist | 3008 Spring Creek Rd, Rockford, IL 61107-1061 | 2010-04-12 |
1225351935 | Rhiannon Marie Deyoung | Specialist | 8450 Algoma Ave Ne Ste Aaa, Rockford, MI 49341-7508 | 2010-03-09 |
1184869893 | Joseph Gerard Lynch | Specialist | 8081 Ravenrock Rd, Rockford, MN 55373-9394 | 2008-12-09 |
1548438344 | Helen Wiedemer Laib | Specialist | 4804 Innsbruck Dr, Rockford, IL 61114-7312 | 2008-02-14 |
1962609859 | Sandra Rebecca Hallman | Specialist | 6017 Abington Dr, Rockford, IL 61109-2757 | 2007-07-02 |
1558481366 | Mark Theodore Peterson | Specialist | 5712 Newburg Rd, Rockford, IL 61108-6707 | 2007-03-29 |
1801913769 | Megan D Lindley | Specialist | 610 Vale Ave, Rockford, IL 61107-4656 | 2007-03-24 |
1841335072 | Ob-gyn Associates (rockford) Ltd. | Specialist | 1016 Featherstone Road, Rockford Ambulatory Surgery Center, Rockford, IL 61107 | 2007-02-21 |
1376610600 | Susan K Fendler | Specialist | 6822 Cummins Dr, Rockford, IL 61114-8069 | 2006-11-30 |
Find all providers in ROCKFORD |
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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.