MS. SHERRY SMITH (NPI# 1417263633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417263633 |
| Entity Type | Individual |
| Full Name | MS. SHERRY SMITH |
| Other Name | MS. SHERRY SMITH |
| Credential | APRN |
| Practice Address |
2043 S Neil St Champaign IL 61820-7219 |
| Mailing Address |
3513 Kearly Ave Sebring FL 33875-4613 |
| Practice Telephone | 3096552000 |
| Mailing Telephone | 8508672861 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11004057 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2043 S Neil St, Champaign, IL 618207219 | 2173373892 | 2173373853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
| 1255747929 | Sherry Smith | Counselor | 5383 Great Woods Dr, Indianapolis, IN 46224-6196 | 2014-07-02 |
| 1841490794 | Sherry Lynn Smith | Physical Therapist | 610 W Palmetto St, Florence, SC 29501 | 2007-07-19 |
| 1861560260 | Sherry Ann Smith Jr. | Registered Nurse | 362 W High St, Mount Gilead, OH 43338-1004 | 2006-12-01 |
| 1851905020 | Sherry Yvette Smith | Nurse Practitioner | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-09-03 |
| 1982230587 | Sherry Smith | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-03-16 |
| 1437554367 | Sherry Smith | Marriage & Family Therapist | 11220 Elm Ln, Suite 203, Charlotte, NC 28277-0715 | 2014-11-04 |
| 1043633134 | Sherry Sue Smith | Social Worker | 1655 N Arlington Heights Rd, Suite 304, Arlington Heights, IL 60004-3982 | 2014-01-27 |
| 1508289604 | Sherry Smith | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-01-24 |
| 1972945673 | Sherry R Smith | Nurse Practitioner | 301 Yadkin St, Albemarle, NC 28001-3441 | 2013-07-23 |
| Street Address |
2043 S NEIL ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255895108 | Brittany N Anderson | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2019-01-24 |
| 1669948444 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2043 S Neil St, Champaign, IL 61820-7219 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123804 | Taysha Marie Ryan | Nurse Practitioner | 302 E Stoughton St Ste 2, Champaign, IL 61820-5414 | 2020-01-07 |
| 1831513985 | Heather Bolser | Nurse Practitioner | 206 W Anthony Dr, Champaign, IL 61822-1218 | 2014-02-10 |
| 1619308574 | Kimberly Freemon | Nurse Practitioner | 2902 Farber Dr, Champaign, IL 61822-1072 | 2013-12-03 |
| 1851431118 | Carole J Schoene | Nurse Practitioner | 1600 W Bradley Ave, E110, Champaign, IL 61821-2208 | 2007-02-07 |
| 1396231767 | Lauren Ashleigh Frerichs | Nurse Practitioner | 101 W University Ave, Champaign, IL 61820-3909 | 2018-07-09 |
| 1003304064 | Jennifer Lynn Laubscher | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2018-04-25 |
| 1902310642 | Julie A Shain | Nurse Practitioner | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-11-16 |
| 1578074506 | Nicole Dawn Almeida | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822 | 2017-10-17 |
| 1710424965 | April D Johnson | Nurse Practitioner | 1701 Curtis Rd, Conv. Care, Champaign, IL 61822-9678 | 2017-01-26 |
| 1215479654 | Jennifer Ingold | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2016-11-16 |
| Find all providers in CHAMPAIGN | ||||
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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.