Individual provider Active NPI

Sherry S Peveto, WHNP

  • Women's Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1629030200
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN080786 Issued in LA
Practice address
312 Grammont St
Suite 300
Monroe, LA 71201-7457
Phone
(318) 388-4030
Fax
(318) 998-3999
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN080786 LA Primary

Addresses

Primary practice location

312 Grammont St
Suite 300
Monroe, LA 71201-7457

Mailing address

312 Grammont St
Suite 300
Monroe, LA 71201-7457
Phone (318) 388-4030

Other names 1

  • Sherry S Wyant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060302000414 LA Practitioner - Nurse Practitioner 0143236984 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN080786LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center, Inc. CurrentSince Oct 3, 2020 Accepting new patients
St Francis Medical Center, Inc CurrentSince Oct 3, 2020 Accepting new patients
Woman'S Clinic of Monroe, AMC CurrentSince Dec 12, 2005 Accepting new patients

Locations

312 Grammont St
Ste 300
Monroe, LA 71201
Phone (318) 388-4030

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

417 McMillan Rd
West Monroe, LA 71291
Phone (318) 322-7119

2600 N 7th St
Ste 504
West Monroe, LA 71291

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1629030200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "SUITE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-388-4030",
            "fax_number": "318-998-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "SUITE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-388-4030",
            "fax_number": "318-998-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVETO",
        "first_name": "SHERRY",
        "middle_name": "S",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN080786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "WYANT",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.