Active NPI
Sherrlyn Harris Owens, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
National Provider Identifier
1720063357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 115255
- Practice address
- Wake Forest University Baptist Medical Center
Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-1411
- NPI assigned
- Dec 6, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 115255 | NC | Primary |
Addresses
Primary practice location
Wake Forest University Baptist Medical Center
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Other practice location 1
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051003 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sharris282371@direct.northshore.org |
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
- Certified Registered Nurse
Interoperability endpoints
- sharris282371@direct.northshore.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1720063357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253661",
"telephone_number": "773-878-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER",
"address_2": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-1411"
}
],
"practiceLocations": [
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "773-878-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWENS",
"first_name": "SHERRLYN",
"middle_name": "HARRIS",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "115255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051003",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sharris282371@direct.northshore.org",
"affiliation": "N",
"address_1": "5145 N California Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.