Active NPI
Sherrome Shantelle Nichols, LPN
- Home Health Agency
- Palatka, FL
National Provider Identifier
1346184553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PN5196709
- Practice address
- 1317 Husson Ave
Palatka, FL 32177-5405 - Phone
- (386) 717-0839
- NPI assigned
- Apr 17, 2026
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PN5196709 | FL | Primary |
Addresses
Primary practice location
1317 Husson Ave
Palatka, FL 32177-5405
Mailing address
1317 Husson Ave
Palatka, FL 32177-5405
Phone (386) 717-0839
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 |
|---|---|---|---|
| PN5196709 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1346184553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 HUSSON AVE",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775405",
"telephone_number": "386-717-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 HUSSON AVE",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775405",
"telephone_number": "386-717-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "SHERROME",
"middle_name": "SHANTELLE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "PN5196709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
- Jaime Leigh Ndandu, FNP
- NE Florida Anesthesia Associates PA
- Jesus Ramon Negron Giusti, MD
- Neurological Associates of North Florida PA
- Claudia NG, LMHC
- North Florida Foot Clinic PLLC
- North Florida Psychological Services
- Northeast Florida Cardiology PA
- Northland Hearing Center, Inc.
- Northland Hearing Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.