Active NPI
Sheryl Kridler
- Psychiatric/Mental Health Nurse Practitioner
- Erie, PA
National Provider Identifier
1306196340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP017036
- Practice address
- 2185 W 8TH St
Erie, PA 16505-4747 - Phone
- (814) 464-8311
- Fax
- (814) 464-8462
- NPI assigned
- Sep 18, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2012029010 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2012033115 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP017036 | PA | Primary |
Addresses
Primary practice location
2185 W 8TH St
Erie, PA 16505-4747
Mailing address
320 Glenruadh Ave
Erie, PA 16505-1731
Phone (816) 585-2289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012029010 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stairways Behavioral Health | Current | Accepting new patients | |
| Ozark Center | Past | Accepting new patients |
Locations
2910 State St
Erie, PA 16508
Phone (814) 454-5686
2185 W 8th St
Erie, PA 16505
Phone (814) 464-8311
Organizations & group practices 2
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.
-
- Clinic/Center
- Erie, PA
- NPI 1003854241
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Joplin, MO
- NPI 1790796878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1306196340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 GLENRUADH AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165051731",
"telephone_number": "816-585-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054747",
"telephone_number": "814-464-8311",
"fax_number": "814-464-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIDLER",
"first_name": "SHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2012029010",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2012033115",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP017036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.