Individual provider Active NPI

Sheri Desmond, CNP

  • Adult Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1225329600
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.09602 Issued in OH
Practice address
3930 Sunforest CT
Suite 100
Toledo, OH 43623-4527
Phone
(419) 251-8760
Fax
(419) 251-8765
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704214586 MI
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.09602 OH Primary

Addresses

Primary practice location

3930 Sunforest CT
Suite 100
Toledo, OH 43623-4527

Mailing address

2200 Jefferson Ave
4TH Floor
Toledo, OH 43604-7101
Phone (419) 251-1963

Other identifiers 3

IdentifierTypeStateIssuer
0056825MedicaidOH
COA09602NPOtherOHOH CNP LICENSE
1225329600MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20111128000652 OH Practitioner - Nurse Practitioner 4688848872 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704214586MIMDAdult Health Nurse Practitioner
APRN.CNP.09602OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jan 20, 2014 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 20, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3930 Sunforest Ct
Ste 100
Toledo, OH 43623
Phone (419) 251-1121

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1225329600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-1963",
            "fax_number": "419-251-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SUNFOREST CT",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234527",
            "telephone_number": "419-251-8760",
            "fax_number": "419-251-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "SHERI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704214586",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.09602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056825",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH CNP LICENSE",
            "identifier": "COA09602NP",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225329600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.