Individual provider Active NPI

Sherry M Moore, CFNP

  • Registered Nurse
  • Selmer, TN
National Provider Identifier
1467567255
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN027447 Issued in TN
Practice address
One Prime Care Drive
Selmer, TN 38375
Phone
(731) 645-7932
Fax
(731) 645-5195
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN05064 TN
Registered Nurse 163W00000X RN027447 TN Primary

Addresses

Primary practice location

One Prime Care Drive
Selmer, TN 38375

Mailing address

One Prime Care Drive
Prime Care Medical Center
Selmer, TN 38375
Phone (731) 645-7932

Other identifiers 2

IdentifierTypeStateIssuer
4038058OtherBLUE CROSS BLUE SHIELD
23178OtherTNTLC

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

LicenseStateTypeSpecialty
RN027447TNMDRegistered Nurse
APN05064TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotts Hill Clinic, Inc. Family Past Accepting new patients
Todd'S Discount Drugs Inc. PastSince Jan 10, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21106/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467567255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE PRIME CARE DRIVE",
            "address_2": "PRIME CARE MEDICAL CENTER",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "38375",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PRIME CARE DRIVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "38375",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHERRY",
        "middle_name": "M",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN05064",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN027447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4038058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "23178",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.