Individual provider Active NPI

Cordelia Lucas-Sherrod, RN

  • Wound Care Registered Nurse
  • Rocky Mount, NC
National Provider Identifier
1063203875
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
146609 Issued in NC
Practice address
3705 Summerwalk Rd
Rocky Mount, NC 27804-8355
Phone
(252) 904-4623
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ostomy Care Registered Nurse 163WX1500X 146609 NC
Wound Care Registered Nurse 163WW0000X 146609 NC Primary

Addresses

Primary practice location

3705 Summerwalk Rd
Rocky Mount, NC 27804-8355

Mailing address

3705 Summerwalk Rd
Rocky Mount, NC 27804-8355
Phone (252) 904-4623

Other names 1

  • Cordelia Lucas 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
146609NCMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1063203875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 SUMMERWALK RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048355",
            "telephone_number": "252-904-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SUMMERWALK RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048355",
            "telephone_number": "252-904-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS-SHERROD",
        "first_name": "CORDELIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NC",
            "license": "146609",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NC",
            "license": "146609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORDELIA",
            "last_name": "LUCAS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.