Individual provider Active NPI

Sherry E Yackoff, LPN

  • Licensed Practical Nurse
  • West Henrietta, NY
National Provider Identifier
1013155910
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
223074 Issued in NY
Practice address
26 Prairie Trail
West Henrietta, NY 14586-9761
Phone
(585) 721-1104
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 223074 NY Primary

Addresses

Primary practice location

26 Prairie Trail
West Henrietta, NY 14586-9761

Mailing address

26 Prairie Trail
West Henrietta, NY 14586-9761
Phone (585) 721-1104

Other names 1

  • Ms. Sherry E Morey Former name

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

State licenses

LicenseStateTypeSpecialty
223074NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1013155910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PRAIRIE TRAIL",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869761",
            "telephone_number": "585-721-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PRAIRIE TRAIL",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869761",
            "telephone_number": "585-721-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKOFF",
        "first_name": "SHERRY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "223074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "MOREY",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.