Active NPI
Sheri Mayfield
- Registered Nurse
- Glenville, NY
National Provider Identifier
1700290939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 744189
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 744189 | NY | MD | Registered Nurse |
| 276223 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Liverpool, NY
- NPI 1366498768
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glens Falls, NY
- NPI 1972558179
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.