Active NPI
Sherri C Depriest, F.N.P.
- Family Nurse Practitioner
- Livingston, TN
National Provider Identifier
1174709778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33946
- Practice address
- 521 Medical Dr
Livingston, TN 38570-1879 - Phone
- (931) 823-5603
- Fax
- (931) 403-0574
- NPI assigned
- Jan 14, 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 | 33946 | TN | Primary |
Addresses
Primary practice location
521 Medical Dr
Livingston, TN 38570-1879
Mailing address
521 Medical Dr
Livingston, TN 38570
Phone (931) 823-5603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33946 | Other | TN | LICENSE |
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 |
|---|---|---|---|
| 33946 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1174709778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MEDICAL DR",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "38570",
"telephone_number": "931-823-5603",
"fax_number": "931-403-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MEDICAL DR",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701879",
"telephone_number": "931-823-5603",
"fax_number": "931-403-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPRIEST",
"first_name": "SHERRI",
"middle_name": "C",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "33946",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.