Active NPI
Sherri Lyn McCarty, CNP
- Family Nurse Practitioner
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R36492
- Practice address
- 1521 W 13TH St
Clovis, NM 88101-5568 - Phone
- (575) 769-0888
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R36492 | NM | Primary |
Addresses
Primary practice location
1521 W 13TH St
Clovis, NM 88101-5568
Mailing address
PO Box 843
Portales, NM 88130-0843
Phone (575) 356-6695
Other practice location 1
100 Commerce Way
Clovis, NM 88101-4768
Phone (575) 762-0360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36492 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Casa de Buena Salud Inc | Current | Accepting new patients | |
| La Casa de Buena Salud Inc. | Current | Accepting new patients | |
| La Casa de Buena Salud Inc | Current | Accepting new patients | |
| La Casa de Buena Salud Inc | Past | Accepting new patients |
Locations
1521 W 13th St
Clovis, NM 88101
Phone (575) 769-0888
100 Commerce Way
Clovis, NM 88101
Phone (575) 762-0360
1515 W Fir St
Portales, NM 88130
Phone (505) 356-6695
200 W Wilshire Blvd
Ste A
Roswell, NM 88201
Phone (575) 622-5956
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Portales, NM
- NPI 1972603165
-
- Community/Behavioral Health Agency
- Roswell, NM
- NPI 1538555040
-
- Federally Qualified Health Center (FQHC)
- Clovis, NM
- NPI 1760788137
-
- Federally Qualified Health Center (FQHC)
- Roswell, NM
- NPI 1215037379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1508966367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843",
"city": "PORTALES",
"state": "NM",
"postal_code": "881300843",
"telephone_number": "575-356-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 W 13TH ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881015568",
"telephone_number": "575-769-0888"
}
],
"practiceLocations": [
{
"address_1": "100 Commerce Way",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881014768",
"country_code": "US",
"telephone_number": "575-762-0360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTY",
"first_name": "SHERRI",
"middle_name": "LYN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R36492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.