Sherry DO, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP19017 Issued in CA

Practice address

17822 Beach Blvd
Suite 400
Huntington Beach, CA 92647-7101

Phone

(714) 332-7016

Fax

(714) 845-9941

NPI assigned

Aug 4, 2009

Last updated

Apr 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Care Nursing IncGroup PAC ID 8628399714, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Proactive Care Nursing, Inc

  • Adult Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1154713790
  Medicare reassignment Care Compare group NPD Authorized official
• Proactive Nursing, Inc.

  • Gerontology Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1902203441
  NPD

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1205067543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8692 WAGERS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475027",
            "telephone_number": "714-332-7016",
            "fax_number": "619-259-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477101",
            "telephone_number": "714-332-7016",
            "fax_number": "714-845-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "SHERRY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP19017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Phuc DO
• Linda DO
• Loc DO
• Michelle DO
• Noel-Tram Ngoc DO
• Susan Minh DO, DDS
• Kim T Doan, M.D.
• Linh Khanh Doan, PHARM D
• Luu Q. Doan, M.D.
• Matthew Doan

• Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.