Sherry K Wick, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN-148453 Issued in OH

Practice address

14701 Detroit Ave
Suite 250
Lakewood, OH 44107-4115

Phone

(216) 221-5901

Fax

(216) 221-5881

NPI assigned

Feb 20, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing

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 and National Provider Directory roles.

• Neighborhood Pediatrics, LLC

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1679724884
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1215072905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31713 TRADEWINDS DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122915",
            "telephone_number": "440-835-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074115",
            "telephone_number": "216-221-5901",
            "fax_number": "216-221-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "SHERRY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "RN-148453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marrianna White, LSW
• Mary E White, LISW
• Rebecca Lynn White, LPCC
• Dorota Anna Whitmer, M.D.
• Lisa Michelle Wiborg, LISW-S
• Monique S Wiggins
• Christopher Derone Williams
• Laurie Williams
• Stephanie Jean Sybilla Williams, DC
• Willow and Rose Counseling Services

• Pediatric Nurse Practitioner in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.