Active NPI
Kimberly Sherrod
- Nurse's Aide
- Columbus, OH
National Provider Identifier
1427788157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 1809 Northridge Rd
Columbus, OH 43224-2859 - Phone
- (614) 390-5792
- NPI assigned
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
1809 Northridge Rd
Columbus, OH 43224-2859
Mailing address
1809 Northridge Rd
Columbus, OH 43224-2859
Phone (614) 390-5792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615030 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677369600000",
"number": "1427788157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 NORTHRIDGE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432242859",
"telephone_number": "614-390-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NORTHRIDGE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432242859",
"telephone_number": "614-390-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROD",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2023-02-26",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2615030",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.