AMY SHERRILL (NPI# 1194210815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194210815 |
| Entity Type | Individual |
| Full Name | AMY SHERRILL |
| Practice Address |
524 Signal Hill Drive Ext Statesville NC 28625-4391 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7048711045 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
231922 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
524 SIGNAL HILL DRIVE EXT |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184631582 | Jennifer Pruitt Moore | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2006-08-01 |
| 1598385338 | Lisa Scott | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-04-22 |
| 1982235149 | Benny Allen Suttles | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-01-27 |
| 1437796737 | Nickysha Mckoy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-12-05 |
| 1265093850 | Kristina Marie Sheybani-agdam | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-06-24 |
| 1386105286 | Deshannon Daniels | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-26 |
| 1568923407 | Linda Caroline Roberts | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-25 |
| 1700340981 | Stephanie Kennedy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-01-22 |
| 1033691415 | Tashe Alexandria Jones | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-09-03 |
| 1619458619 | David John Miller II | Social Worker | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385338 | Lisa Scott | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-04-22 |
| 1982235149 | Benny Allen Suttles | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-01-27 |
| 1568923407 | Linda Caroline Roberts | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-25 |
| 1699296350 | Yvette Marie Snyder | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393410 | Cathy Showfety Inc. | Clinical Nurse Specialist | 408 1/2 State St, Greensboro, NC 27405-5657 | 2011-10-17 |
| 1699078246 | Mary Lynn Piven | Clinical Nurse Specialist | 365 Highway 87 N, Pittsboro, NC 27312 | 2010-12-20 |
| 1316130990 | Kelly L Smedley | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2007-08-27 |
| 1922210558 | William Garrett Stone | Clinical Nurse Specialist | 309 W Weaver St, Suite 200, Carrboro, NC 27510-6005 | 2007-05-04 |
| 1609992007 | Carol Faye Peindl | Clinical Nurse Specialist | 12617 Kencot Ct, Huntersville, NC 28078-5715 | 2007-03-21 |
| 1679667133 | Deborah Herring Perry | Clinical Nurse Specialist | 208 Malloy Street, Unit E, Goldsboro, NC 27534 | 2006-10-02 |
| 1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
| 1730152620 | Marianne Mciver | Clinical Nurse Specialist | 234 E Raleigh St, Siler City, NC 27344-3416 | 2006-02-10 |
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| 1699398529 | Gina Bourne | Clinical Nurse Specialist | 227 N Main St Ste A, Troy, NC 27371-3059 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on AMY SHERRILL.
| 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.