Individual provider Active NPI

Sheryl Sterling-Skinner, M.S. R.D.

  • Registered Dietitian
  • Watertown, NY
National Provider Identifier
1609129527
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
602 Issued in NE
Practice address
25682 Military Rd
Watertown, NY 13601-5222
Phone
(402) 730-3940
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 602 NE Primary

Addresses

Primary practice location

25682 Military Rd
Watertown, NY 13601-5222

Mailing address

25682 Military Rd
Watertown, NY 13601-5222
Phone (402) 730-3940

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
602NEMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1609129527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25682 MILITARY RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015222",
            "telephone_number": "402-730-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25682 MILITARY RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015222",
            "telephone_number": "402-730-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING-SKINNER",
        "first_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "M.S. R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.