Individual provider Active NPI

Catherine Sherfy, NP-C

  • Gerontology Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1114306032
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2018016873 Issued in MO
Practice address
15201 Olive Blvd
Chesterfield, MO 63017-1810
Phone
(636) 898-8531
NPI assigned
May 26, 2015
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2018016873 MO
Adult Health Nurse Practitioner 363LA2200X NP-17101 OH
Family Nurse Practitioner 363LF0000X NP-17101 OH
Gerontology Nurse Practitioner 363LG0600X 2018016873 MO Primary

Addresses

Primary practice location

15201 Olive Blvd
Chesterfield, MO 63017-1810

Mailing address

19 Homefield CT
O Fallon, MO 63366-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181025000228 MO Practitioner - Nurse Practitioner 2365743549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018016873MOMDAdult Health Nurse Practitioner
NP-17101OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Mill Medical Associates, LLC CurrentSince Oct 22, 2018 Accepting new patients

Locations

15201 Olive Blvd
Chesterfield, MO 63017
Phone (636) 532-1515

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1114306032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOMEFIELD CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171810",
            "telephone_number": "636-898-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERFY",
        "first_name": "CATHERINE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2018016873",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-17101",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-17101",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2018016873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.