Active NPI
Sherry Lynne Weatherford, LMT
- Specialist
- Crystal River, FL
National Provider Identifier
1710026497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA16326
- Practice address
- 9030 W Fort Island TRL BLDG 10
Crystal River, FL 34429-2412 - Phone
- (352) 220-0167
- Fax
- (352) 795-4732
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA16326 | FL | Primary |
Addresses
Primary practice location
9030 W Fort Island TRL BLDG 10
Crystal River, FL 34429-2412
Mailing address
6840 W Avocado St
Crystal River, FL 34429-5680
Phone (352) 220-0167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7345 | Other | FL | PIN BLUECROSS BLUE SHILED |
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 |
|---|---|---|---|
| MA16326 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710026497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 W AVOCADO ST",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344295680",
"telephone_number": "352-220-0167",
"fax_number": "352-795-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 W FORT ISLAND TRL BLDG 10",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344292412",
"telephone_number": "352-220-0167",
"fax_number": "352-795-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERFORD",
"first_name": "SHERRY",
"middle_name": "LYNNE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA16326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN BLUECROSS BLUE SHILED",
"identifier": "C7345",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.