Individual provider Active NPI

Sheri Doverspike

  • Home Health Aide
  • Jamestown, NY
National Provider Identifier
1396145256
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
308538 Issued in NY
Practice address
248 Broadhead Ave
Lower
Jamestown, NY 14701-8113
Phone
(716) 640-9307
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 308538 NY Primary

Addresses

Primary practice location

248 Broadhead Ave
Lower
Jamestown, NY 14701-8113

Mailing address

248 Broadhead Ave
Lower
Jamestown, NY 14701-8113
Phone (716) 640-9307

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

LicenseStateTypeSpecialty
308538NYMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1396145256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BROADHEAD AVE",
            "address_2": "LOWER",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018113",
            "telephone_number": "716-640-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BROADHEAD AVE",
            "address_2": "LOWER",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018113",
            "telephone_number": "716-640-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVERSPIKE",
        "first_name": "SHERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "308538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.