Active NPI
Karen M. Sherry, NP
- Pediatric Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1679949663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5553-33
- Practice address
- 2014 N 124TH St
Milwaukee, WI 53226 - Phone
- (414) 259-8072
- NPI assigned
- Aug 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 81557-30 | WI | |
| Pediatric Nurse Practitioner | 363LP0200X | 5553-33 | WI | Primary |
Addresses
Primary practice location
2014 N 124TH St
Milwaukee, WI 53226
Mailing address
2014 N 124TH St
Milwaukee, WI 53226-2047
Phone (414) 259-8072
Other practice location 1
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6420
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5553-33 | WI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1679949663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 N 124TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532262047",
"telephone_number": "414-259-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 N 124TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-259-8072"
}
],
"practiceLocations": [
{
"address_1": "600 Highland Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537920001",
"country_code": "US",
"telephone_number": "608-263-6420",
"fax_number": "608-263-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERRY",
"first_name": "KAREN",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "81557-30",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "5553-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.