Active NPI
Sheryl Yanissa Stanley
- Pediatric Nurse Practitioner
- Weston, FL
National Provider Identifier
1356895643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9364328
- Practice address
- 2900 S Commerce Pkwy
Weston, FL 33331-3622 - Phone
- (954) 371-0113
- Fax
- (954) 385-6201
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9364328 | FL | Primary |
Addresses
Primary practice location
2900 S Commerce Pkwy
Weston, FL 33331-3622
Mailing address
9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9364328 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicklaus Children'S Pediatric Specialists, LLC | Past | Accepting new patients |
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1356895643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 NW 116TH WAY STE 13",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781175",
"telephone_number": "786-924-1311",
"fax_number": "786-924-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S COMMERCE PKWY",
"city": "WESTON",
"state": "FL",
"postal_code": "333313622",
"telephone_number": "954-371-0113",
"fax_number": "954-385-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "SHERYL",
"middle_name": "YANISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2021-09-30",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9364328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.