Individual provider Active NPI

Sherri L Church, RN

  • Registered Nurse
  • Laughlin, NV
National Provider Identifier
1053128348
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
860719 Issued in NV
Practice address
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Phone
(702) 868-1400
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 860719 NV Primary

Addresses

Primary practice location

3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815

Mailing address

746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
860719NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Nevada LLC CurrentSince Dec 15, 2024 Accepting new patients
Canyon Nevada LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

3100 S Needles Hwy
Ste 500
Laughlin, NV 89029
Phone (702) 703-1262

746 E Winchester St
Ste 200
Salt Lake City, UT 84107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1053128348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E WINCHESTER ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078513",
            "telephone_number": "801-485-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S NEEDLES HWY STE 500",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290815",
            "telephone_number": "702-868-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "SHERRI",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "860719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.