Sherry Lee Schaefer

Primary specialty

SpecialistTaxonomy code 174400000X

License

21SC1205808 Issued in NY

Practice address

109 Sawmill Dr
Penfield, NY 14526-1037

Phone

(585) 385-3667

Fax

(212) 553-7366

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sherry Lee Lodice Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1396083044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SAWMILL DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261037",
            "telephone_number": "585-385-3667",
            "fax_number": "212-553-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SAWMILL DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261037",
            "telephone_number": "585-385-3667",
            "fax_number": "212-553-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "21SC1205808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPEARANCE ENHANCEMENT BUSINESS LICENSE",
            "identifier": "21SC1205808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "LODICE",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Lynne Samuels, RN
• Luke M Sanna, PHARMD
• Megan Sanna, NP
• Manish Sanon, D.D.S.
• Tajma Saric, PMHNP-BC
• Michelle Schrader, RPH
• Alison Schuppert, MD
• Nadia Ellen Sefein, RPH
• David Maurice Sell, LMT
• Rahman Rahim Shabazz, CT

• Specialist in Penfield, NY
• Providers in Penfield, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.