Sherra Dawn Vance, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0860 Issued in NC

Practice address

115 Market St
Suite 201
Durham, NC 27701-3251

Phone

(919) 560-5600

Fax

(919) 560-3018

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• NC DHHS Child and Family Well-Being

  • Early Intervention Provider Agency
  • Durham, NC
  • NPI 1902020308
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578697157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 LAZYRIVER DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277129546",
            "telephone_number": "919-479-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARKET ST",
            "address_2": "SUITE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013251",
            "telephone_number": "919-560-5600",
            "fax_number": "919-560-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SHERRA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "0860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Vanbree, FNP, WHNP
• June P Vanbruggen, MD
• Iris Lillian Vance, MD
• Jeffrey Vance, PH.D.
• Kyle Jacob Vance, PA-C
• Elizabeth Vandemark, PT, DPT
• Robert McCord Vandemark, M.D.
• Phyllis Robinson Vandenberg, MS PT GCS
• Jacqueline Marie Vanderbilt, MS, CCC-SLP
• Gabriel Vanderkin

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.