Individual provider Active NPI

Sherry M Macdonald, MSN, FNP-C, ARNP

  • Family Nurse Practitioner
  • Southfiield, MI
National Provider Identifier
1326398231
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704223637 Issued in MI
Practice address
26957 Northwestern Highway
United Health Group-Optum
Southfiield, MI 48034
Phone
(248) 331-4477
NPI assigned
Sep 18, 2012
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9183467 FL
Family Nurse Practitioner 363LF0000X 4704223637 MI Primary

Addresses

Primary practice location

26957 Northwestern Highway
United Health Group-Optum
Southfiield, MI 48034

Mailing address

27646 Albert St.
Novi, MI 48374
Phone (407) 927-8946

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9183467FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sherry.macdonald.1@19270.direct.athenahealth.com

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": "1382486400000",
    "number": "1326398231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27646 ALBERT ST.",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "407-927-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26957 NORTHWESTERN HIGHWAY",
            "address_2": "UNITED HEALTH GROUP-OPTUM",
            "city": "SOUTHFIIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-331-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "SHERRY",
        "middle_name": "M",
        "credential": "MSN, FNP-C, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9183467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704223637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.