Individual provider Active NPI

Sherri Sudduth Sanders, CRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1356718191
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-122797 Issued in AL
Practice address
4401 Watermelon Rd
Northport, AL 35473-5197
Phone
(205) 343-2811
Fax
(205) 391-0900
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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 1-122797 AL Primary

Addresses

Primary practice location

4401 Watermelon Rd
Northport, AL 35473-5197

Mailing address

4401 Watermelon Rd
Northport, AL 35473-5197
Phone (205) 343-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160502001079 AL Practitioner - Nurse Practitioner 3678872363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

15225 Hwy 43
Suite I
Russellville, AL 35653-1969
Phone (256) 331-2700

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curewell Medical Center CurrentSince May 17, 2017 Accepting new patients
Russellville Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Russellville Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients
Integrated Behavioral Health, Inc. Family CurrentSince Jun 1, 2020 Accepting new patients
Cardiovascular Consultants of Alabama, P.C. PastSince May 17, 2017 Accepting new patients

Locations

2205 Beltline Rd SW
Decatur, AL 35601
Phone (256) 306-4000

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

4108 Watermelon Rd
Northport, AL 35473
Phone (205) 366-9898

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1356718191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735197",
            "telephone_number": "205-343-2811",
            "fax_number": "205-391-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735197",
            "telephone_number": "205-343-2811",
            "fax_number": "205-391-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHERRI",
        "middle_name": "SUDDUTH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.