Active NPI
Sherrita Terry, LPN
- Licensed Vocational Nurse
- Greenwood, SC
National Provider Identifier
1114520525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 48820
- Practice address
- 1736 Main St S
Greenwood, SC 29646-4100 - Phone
- (864) 942-3600
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 48820 | SC | Primary |
Addresses
Primary practice location
1736 Main St S
Greenwood, SC 29646-4100
Mailing address
108 Delta Dr
Hodges, SC 29653-9740
Phone (864) 900-6310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48820 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Healthcare |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48820 | SC | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1114520525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DELTA DR",
"city": "HODGES",
"state": "SC",
"postal_code": "296539740",
"telephone_number": "864-900-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 MAIN ST S",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464100",
"telephone_number": "864-942-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "SHERRITA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "SC",
"license": "48820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48820",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Healthcare",
"affiliation": "N",
"address_1": "1736 Main St S",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296464100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.