Active NPI
Sherry G. Nakano, MD
- Pediatrics Physician
- Grand Junction, CO
National Provider Identifier
1720061310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25671
- Practice address
- 3150 North 12TH Street
Grand Junction, CO 81506-5517 - Phone
- (970) 243-5437
- Fax
- (970) 243-7792
- NPI assigned
- Nov 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25671 | CO | Primary |
Addresses
Primary practice location
3150 North 12TH Street
Grand Junction, CO 81506-5517
Mailing address
699 Cascade Dr
Grand Junction, CO 81506-8355
Phone (970) 201-7082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01256718 | Medicaid | CO |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25671 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1720061310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 CASCADE DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068355",
"telephone_number": "970-201-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 NORTH 12TH STREET",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815065517",
"telephone_number": "970-243-5437",
"fax_number": "970-243-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKANO",
"first_name": "SHERRY",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "25671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01256718",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.