Sheretta Lajuana Dobbins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16133 Issued in TN

Practice address

6544 Quince Rd
Memphis, TN 38119-8211

Phone

(901) 425-0190

NPI assigned

May 14, 2012

Last updated

Dec 14, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN

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

State licenses

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.

• Humility Health Services LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1124569918
  Medicare reassignment NPD Authorized official
• Restorative Mobile Wound Care, LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1114714136
  Medicare reassignment NPD
• Caremore Medical Group of Tennessee PC

  • General Practice Physician
  • Memphis, TN
  • NPI 1265834048
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1508125360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 BROWNBARK COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198211",
            "telephone_number": "901-425-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "SHERETTA",
        "middle_name": "LAJUANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529122",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DMC-Memphis,LLC (Delta Specialty Hospital)
• Kevin Doan
• Darrell Doane
• Dushyant Gopal Dobaria, M.D.
• Kimberly Dobbin
• Kantreisa Dobbs
• Emilee Adelyn Dobish, M.D.
• Deborah Dobransky
• Angela Kay Dobson, DC
• Nicole Renee Dockery, CPNP

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.