Sherry Lynn Rouse, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

R0097115 Issued in OK

Practice address

103 N Wheeler Ave
Sallisaw, OK 74955-4617

Phone

(918) 775-7751

Fax

(918) 775-7932

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Sequoyah Residential Mental Health Facility, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Sallisaw, OK
  • NPI 1881921898
  NPD (past) Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1194047167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 179-1",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749629265",
            "telephone_number": "918-773-8534",
            "fax_number": "918-775-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554617",
            "telephone_number": "918-775-7751",
            "fax_number": "918-775-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OK",
            "license": "R0097115",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "R0097115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macaiah Marie Rodgers
• Cynthia Lovern Rogers, ARNP
• Jimmy Dale Rogers III, PTA
• Nancy A Rogow, MANAGEMENT
• Darrin Thomas Ross
• Vickie R Rowell
• Natalie Elise Russell, R.D.
• Sallisaw Chiropractic Clinic
• Sallisaw Chiropractic Clinic Inc.
• Sallisaw Family Medicine, L.L.C.

• Adult Psychiatric/Mental Health Registered Nurse in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.