Individual provider Active NPI

Sherren Smith, RN-BSN NURSE

  • School Registered Nurse
  • Meridian, MS
National Provider Identifier
1043923626
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
880683 Issued in MS
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

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
880683MSMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.