Organization Active NPI

Rest for Your Sole

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1295157659
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14966 Issued in TN
Legal business name
REST FOR YOUR SOLE
Practice address
9574 Misty Knoll Dr
Cordova, TN 38016-6702
Phone
(901) 596-9514
NPI assigned
Jan 20, 2014
Last updated
Jan 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Mrs. Sherrie Renee Serca, FNPNPI 1518283399
Title
Owner
Phone
(901) 877-4367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14966 TN Primary

Addresses

Primary practice location

9574 Misty Knoll Dr
Cordova, TN 38016-6702

Mailing address

9574 Misty Knoll Dr
Cordova, TN 38016-6702
Phone (901) 596-9514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1295157659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9574 MISTY KNOLL DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166702",
            "telephone_number": "901-596-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9574 MISTY KNOLL DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166702",
            "telephone_number": "901-596-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST FOR YOUR SOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "SERCA",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-877-4367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.