Active NPI
Sherri Lynn Hawthorne, N.P.
- Acute Care Nurse Practitioner
- West Orange, NJ
National Provider Identifier
1699775080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NN11075200
- Practice address
- 375 Mount Pleasant Ave
West Orange
West Orange, NJ 07052-2724 - Phone
- (973) 731-9442
- Fax
- (973) 731-2918
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NN11075200 | NJ | Primary |
Addresses
Primary practice location
375 Mount Pleasant Ave
West Orange
West Orange, NJ 07052-2724
Mailing address
375 Mount Pleasant Ave
West Orange
West Orange, NJ 07052-2724
Phone (973) 731-9442
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN11075200 | NJ | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1699775080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 MOUNT PLEASANT AVE",
"address_2": "WEST ORANGE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522724",
"telephone_number": "973-731-9442",
"fax_number": "973-731-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 MOUNT PLEASANT AVE",
"address_2": "WEST ORANGE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522724",
"telephone_number": "973-731-9442",
"fax_number": "973-731-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "SHERRI",
"middle_name": "LYNN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NN11075200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.