Active NPI
Sherry Dawn Repass, FNP-BC
- Family Nurse Practitioner
- Statesville, NC
National Provider Identifier
1104085414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5003901
- Practice address
- 633 Brookdale Dr Ste 300
Statesville, NC 28677-3471 - Phone
- (704) 873-7250
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5003901 | NC | Primary |
Addresses
Primary practice location
633 Brookdale Dr Ste 300
Statesville, NC 28677-3471
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
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 |
|---|---|---|---|
| 5003901 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1104085414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277",
"fax_number": "704-978-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 BROOKDALE DR STE 300",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773471",
"telephone_number": "704-873-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPASS",
"first_name": "SHERRY",
"middle_name": "DAWN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5003901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
- Mia Redmond, LCSW
- Regional Physicians LLC (UNC Regional Physicians Carolina Cardiology)
- Nicholas David Reid, M.D.
- Kristen Ashley Reinhold, LCSWA
- Reliable Specialties
- Courtney Vincent Reynolds, LPC
- Lakeisha Reynolds, NURSE PRACTITIONER
- Sally Ann Reynolds, LCSW
- Rha Health Services NC, LLC
- Rha Health Services NC, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.