Individual provider Active NPI

Sherrie Wroblewski, NP

  • Family Nurse Practitioner
  • Lakeland, TN
National Provider Identifier
1609321827
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21601 Issued in TN
Practice address
12141 Chapel Meadow LN
Lakeland, TN 38002-4688
Phone
(901) 412-5483
NPI assigned
Aug 17, 2016
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21601 TN
Family Nurse Practitioner 363LF0000X 21601 TN Primary

Addresses

Primary practice location

12141 Chapel Meadow LN
Lakeland, TN 38002-4688

Mailing address

12141 Chapel Meadow LN
Lakeland, TN 38002-4688
Phone (901) 412-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161026000659 TN Practitioner - Nurse Practitioner 6800174897 Reassigns benefits to 2 organizations
I20191231001183 AR Practitioner - Nurse Practitioner 6800174897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1609321827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 CHAPEL MEADOW LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024688",
            "telephone_number": "901-412-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 CHAPEL MEADOW LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024688",
            "telephone_number": "901-412-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "SHERRIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

Verify at the official NPI Registry.