Active NPI
Sherry Lynn Stewart, APRN
- Nurse Practitioner
- Mentor, OH
National Provider Identifier
1639328222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP10227
- Practice address
- 5301 E Heisley Rd
Mentor, OH 44060 - Phone
- (440) 392-9550
- Fax
- (440) 392-9550
- NPI assigned
- Sep 18, 2008
- Last updated
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP10227 | OH | Primary |
Addresses
Primary practice location
5301 E Heisley Rd
Mentor, OH 44060
Mailing address
575 Hill Country Dr
Kerrville, TX 78028-6024
Phone (830) 258-7762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3015918 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP10227 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1639328222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024",
"telephone_number": "830-258-7762",
"fax_number": "830-258-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E HEISLEY RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-392-9550",
"fax_number": "440-392-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SHERRY",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP10227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3015918",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.