Individual provider Active NPI

Sherry Kay Scopino, LPN

  • Licensed Practical Nurse
  • Port Jervis, NY
National Provider Identifier
1124338538
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
155130-1 Issued in NY
Practice address
9 Center St
Port Jervis, NY 12771-2806
Phone
(845) 856-9703
Fax
(845) 856-1070
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 155130-1 NY Primary

Addresses

Primary practice location

9 Center St
Port Jervis, NY 12771-2806

Mailing address

9 Center St
Port Jervis, NY 12771-2806
Phone (845) 856-9703

Other identifiers 1

IdentifierTypeStateIssuer
01133935MedicaidNY

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

LicenseStateTypeSpecialty
155130-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Kay Home Care, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1124338538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTER ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712806",
            "telephone_number": "845-856-9703",
            "fax_number": "845-856-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTER ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712806",
            "telephone_number": "845-856-9703",
            "fax_number": "845-856-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPINO",
        "first_name": "SHERRY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "155130-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01133935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.