Sheryl Lynn Smoke, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201350047NP Issued in OR

Practice address

10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713

Phone

(503) 908-1289

Fax

(503) 908-3439

NPI assigned

Apr 8, 2013

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

• Sheryl Lynn Ivey Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1093892895
  Medicare reassignment NPD
• Cornerstone Clinical Services, Inc

  dba Cornerstone

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1184786238
  NPD

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1447693684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155713",
            "telephone_number": "503-908-1289",
            "fax_number": "503-908-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155713",
            "telephone_number": "503-908-1289",
            "fax_number": "503-908-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOKE",
        "first_name": "SHERYL",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201350047NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000000187240",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "IVEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Smith, PA-C
• Joseph R. Smith, MD
• La Shawnda T Smith
• Sara Whitney Smith Sr., MSW
• Sean Michael Smith
• Jill Smolevitz, M.D.
• Thomas Jess Smurthwaite, PHD
• Phillip Warren Snell, D. C.
• Sean A Snell, CRNA
• Stacey Snover, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.