Active NPI
Sherry L Bender, FNP-BC
- Family Nurse Practitioner
- Greenwood, IN
National Provider Identifier
1194795666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000367A
- Practice address
- 701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070 - Phone
- (317) 885-2860
- Fax
- (317) 885-2869
- NPI assigned
- Jan 25, 2006
- 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 | 71000367A | IN | Primary |
Addresses
Primary practice location
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Mailing address
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 885-2860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200887630 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000367A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | 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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1194795666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 101",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431070",
"telephone_number": "317-885-2860",
"fax_number": "317-885-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 101",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431070",
"telephone_number": "317-885-2860",
"fax_number": "317-885-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "SHERRY",
"middle_name": "L",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000367A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200887630",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.