Individual provider Active NPI

Sheryl Marinone, APRN

  • Family Nurse Practitioner
  • East Windsor, CT
National Provider Identifier
1093780256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001729 Issued in CT
Practice address
3A Pasco Dr
East Windsor, CT 06088-1700
Phone
(860) 623-4100
Fax
(860) 623-4101
NPI assigned
Feb 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 001729 CT Primary

Addresses

Primary practice location

3A Pasco Dr
East Windsor, CT 06088-1700

Mailing address

29 Marion St
Windsor Locks, CT 06096-2703
Phone (860) 623-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001270 CT Practitioner - Nurse Practitioner 8527043405 Practice locations: East Windsor, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J. Michael Herr DO LLC Past Accepting new patients

Organizations & group practices 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093780256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARION ST",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962703",
            "telephone_number": "860-623-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3A PASCO DR",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060881700",
            "telephone_number": "860-623-4100",
            "fax_number": "860-623-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINONE",
        "first_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, CT

Sources for this page

Verify at the official NPI Registry.