Individual provider Active NPI

Sherri J Robertson, APRN

  • Family Nurse Practitioner
  • Harrogate, TN
National Provider Identifier
1346563459
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6376P Issued in KY
Practice address
6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012
Phone
(865) 585-2452
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6376P KY Primary

Addresses

Primary practice location

6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012

Mailing address

PO Box 44
Harrogate, TN 37752-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015001889 TN Practitioner - Nurse Practitioner 5698802015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrogate Health Group LLCGroup PAC ID 4880903434, 4 clinicians

Practice addresses (Care Compare)

6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012
Phone (423) 441-8011

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Middlesboro, KY, CCN 187306
  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
14769TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrogate Health Group LLC Family CurrentSince Aug 4, 2015 Accepting new patients

Locations

165 Westmoreland St
Harrogate, TN 37752
Phone (423) 441-8011

6650 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 441-8011

Interoperability endpoints

  • Direct secure messaging: sherri.robertson.1@11792.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrogate Health Group LLCHarrogate, TN, CCN 448989 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
General Partnership Interest (34%)
Corporate Officer (100%)
W-2 Managing Employee
Jun 22, 2015
Jun 22, 2015
Jun 22, 2015
Jun 22, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1346563459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528012",
            "telephone_number": "865-585-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SHERRI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6376P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrogate, TN

Sources for this page

Verify at the official NPI Registry.