Individual provider Active NPI

Sherry Lee Gorslin, RNC WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679793780
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN076486 Issued in AZ
Practice address
9303 N 7TH St
Ste 4
Phoenix, AZ 85020
Phone
(602) 305-5100
Fax
(602) 870-7697
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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 RN076486 AZ Primary

Addresses

Primary practice location

9303 N 7TH St
Ste 4
Phoenix, AZ 85020

Mailing address

14436 N 87TH Dr
Peoria, AZ 85381-3593
Phone (602) 550-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN076486AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choices Womens Clinic Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17868/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sherry.gorslin.1@17868.direct.athenahealth.com

Organizations & group practices 1

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1679793780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14436 N 87TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813593",
            "telephone_number": "602-550-3937",
            "fax_number": "602-870-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 N 7TH ST",
            "address_2": "STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-305-5100",
            "fax_number": "602-870-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSLIN",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RNC WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN076486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.