Sherry Jane Tavarez, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN9233170 Issued in FL

Practice address

349 Holmes Blvd NW
Fort Walton Beach, FL 32548-4150

Phone

(850) 833-3364

Fax

(850) 833-3366

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Sherry Jane Bell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1619156759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485066",
            "telephone_number": "850-833-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 HOLMES BLVD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484150",
            "telephone_number": "850-833-3364",
            "fax_number": "850-833-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "SHERRY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "RN9233170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BELL",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan K Takacs, PTA
• Cassandra Tang
• Tara Harden M.D., P.a.
• Paul Tartarilla, APRN
• Mary Miller Tatum, M.ED, CCC-SLP
• Michael E Tavernaris, M.D.
• Amanda Taylor, LMT
• Camella M Taylor
• Hannah Taylor, NP-C
• Jeannine Torres Taylor, CRNA

• School Registered Nurse in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• School Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.