Active NPI
Sharon Marie Herr, RD
- Registered Dietitian
- Port Orange, FL
National Provider Identifier
1316453848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8968
- Practice address
- 5445 Turton LN
Port Orange, FL 32127-5547 - Phone
- (386) 214-0576
- NPI assigned
- Dec 20, 2017
- Last updated
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8968 | FL | Primary |
Addresses
Primary practice location
5445 Turton LN
Port Orange, FL 32127-5547
Mailing address
5445 Turton LN
Port Orange, FL 32127-5547
Phone (386) 214-0576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8968 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1316453848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 TURTON LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275547",
"telephone_number": "386-214-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 TURTON LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275547",
"telephone_number": "386-214-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERR",
"first_name": "SHARON",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "8968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.