Individual provider Active NPI

Sherry Lynne Chenell, MS, PMHNP, PMHCNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Oregon City, OR
National Provider Identifier
1043737539
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
200170086CNS Issued in OR
Practice address
13663 S Spangler Rd
Oregon City, OR 97045-9551
Phone
(503) 957-4857
Fax
(503) 632-7605
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 081034855N6 OR
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 200170086CNS OR Primary

Addresses

Primary practice location

13663 S Spangler Rd
Oregon City, OR 97045-9551

Mailing address

13663 S Spangler Rd
Oregon City, OR 97045-9551
Phone (503) 957-4857

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
Master of Science

State licenses

LicenseStateTypeSpecialty
081034855N6ORMDPsychiatric/Mental Health Nurse Practitioner
200170086CNSORMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043737539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 S SPANGLER RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459551",
            "telephone_number": "503-957-4857",
            "fax_number": "503-632-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13663 S SPANGLER RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459551",
            "telephone_number": "503-957-4857",
            "fax_number": "503-632-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENELL",
        "first_name": "SHERRY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MS, PMHNP, PMHCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "081034855N6",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "200170086CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.