Active NPI
Sherren Smith, RN-BSN NURSE
- School Registered Nurse
- Meridian, MS
National Provider Identifier
1043923626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 880683
- Practice address
- 3701 8TH St Ste C
Meridian, MS 39307-6083 - Phone
- (601) 479-3792
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | 880683 | MS | |
| Community Health Registered Nurse | 163WC1500X | 880683 | MS | |
| Diabetes Educator Registered Nurse | 163WD0400X | 880683 | MS | |
| General Practice Registered Nurse | 163WG0000X | 880683 | MS | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 880683 | MS | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 880683 | MS | |
| Wound Care Registered Nurse | 163WW0000X | 880683 | MS | |
| Occupational Health Registered Nurse | 163WX0106X | 880683 | MS | |
| School Registered Nurse | 163WS0200X | 880683 | MS | Primary |
Addresses
Primary practice location
3701 8TH St Ste C
Meridian, MS 39307-6083
Mailing address
2504 45TH Ave
Meridian, MS 39307-5111
Phone (601) 479-3792
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 880683 | MS | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Chasers Trucking, LLC. | Current | Accepting new patients | |
| Dream at Home High Quality Healthcare Services Inc | Current | Accepting new patients |
Locations
3701 8th St
Ste C
Meridian, MS 39307
Phone (601) 479-3792
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Meridian, MS
- NPI 1528857091
-
- Transportation Network Company
- Meridian, MS
- NPI 1366155954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1043923626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 45TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075111",
"telephone_number": "601-479-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 8TH ST STE C",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393076083",
"telephone_number": "601-479-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHERREN",
"credential": "RN-BSN NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "MS",
"license": "880683",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MS",
"license": "880683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.