Active NPI
Sherry Lynn Taylor, CSA OPA
- Surgical Assistant
- Virginia Beach, VA
National Provider Identifier
1619119930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 2308 Beach Haven Dr
Unit 203
Virginia Beach, VA 23451-1252 - Phone
- (757) 718-7843
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary | ||
| Surgical Technologist | 246ZS0410X |
Addresses
Primary practice location
2308 Beach Haven Dr
Unit 203
Virginia Beach, VA 23451-1252
Mailing address
2308 Beach Haven Dr
Unit 203
Virginia Beach, VA 23451-1252
Phone (757) 718-7843
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2420 | Other | NSAA | |
| 24 | Other | VA | ORTHOPEDIC PHYSICIAN ASSISTANT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1619119930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 BEACH HAVEN DR",
"address_2": "UNIT 203",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511252",
"telephone_number": "757-718-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 BEACH HAVEN DR",
"address_2": "UNIT 203",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511252",
"telephone_number": "757-718-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHERRY",
"middle_name": "LYNN",
"credential": "CSA OPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSAA",
"identifier": "2420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHOPEDIC PHYSICIAN ASSISTANT",
"identifier": "24",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.