Active NPI
Peggy Ruthaleen Sherwin
- Counselor
- Saint Peters, MO
National Provider Identifier
1194578989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 28 Mountain Laurel Dr
Saint Peters, MO 63376-2195 - Phone
- (636) 293-0178
- NPI assigned
- Apr 10, 2024
- Last updated
- Apr 10, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
28 Mountain Laurel Dr
Saint Peters, MO 63376-2195
Mailing address
28 Mountain Laurel Dr
Saint Peters, MO 63376-2195
Phone (636) 293-0178
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1194578989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MOUNTAIN LAUREL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762195",
"telephone_number": "636-293-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MOUNTAIN LAUREL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762195",
"telephone_number": "636-293-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWIN",
"first_name": "PEGGY",
"middle_name": "RUTHALEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.