Individual provider Active NPI

Sheri Mayfield

  • Registered Nurse
  • Glenville, NY
National Provider Identifier
1700290939
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
744189 Issued in NY
Practice address
79 Glenridge Rd
Glenville, NY 12302-4528
Phone
(518) 399-6446
Fax
(518) 952-8109
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 276223 NY
Registered Nurse 163W00000X 744189 NY Primary

Addresses

Primary practice location

79 Glenridge Rd
Glenville, NY 12302-4528

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4528

Other practice location 1

55 Elm St
Glens Falls, NY 12801-3549
Phone (518) 793-7273

Other practice location 2

2435 6th Ave
Troy, NY 12180-2227
Phone (518) 274-5143

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
744189NYMDRegistered Nurse
276223NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Park, Inc. Past Accepting new patients
Conifer Park, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1700290939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024528",
            "telephone_number": "518-399-6446",
            "fax_number": "518-952-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Elm St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013549",
            "country_code": "US",
            "telephone_number": "518-793-7273",
            "fax_number": "518-798-5004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802227",
            "country_code": "US",
            "telephone_number": "518-274-5143",
            "fax_number": "518-273-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "SHERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276223",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "744189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.