Individual provider Active NPI

Sherry Hefner Medrano, CPNP

  • School Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1003063819
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
269220 Issued in CA
Practice address
456 S Mathews St
Los Angeles, CA 90033-4326
Phone
(323) 780-6502
Fax
(323) 780-6685
NPI assigned
Aug 22, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 269220 CA Primary

Addresses

Primary practice location

456 S Mathews St
Los Angeles, CA 90033-4326

Mailing address

1430 S. San Julian St
BLDG 2
Los Angeles, CA 90015-3142
Phone (213) 765-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
269220CAMDSchool Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sherry.medranornp.p1@direct.plannedparenthoodla.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1003063819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S. SAN JULIAN ST",
            "address_2": "BLDG 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153142",
            "telephone_number": "213-765-2800",
            "fax_number": "213-765-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 S MATHEWS ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334326",
            "telephone_number": "323-780-6502",
            "fax_number": "323-780-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "SHERRY",
        "middle_name": "HEFNER",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CA",
            "license": "269220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.