Individual provider Active NPI

Prelinca R Sherrod, NP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1720265341
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-068592 Issued in AL
Practice address
907 31St St E Ste a
Tuscaloosa, AL 35405-2507
Phone
(205) 331-4369
Fax
(205) 331-4010
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-068592 AL Primary

Addresses

Primary practice location

907 31St St E Ste a
Tuscaloosa, AL 35405-2507

Mailing address

907 31St St E Ste a
Tuscaloosa, AL 35405-2507
Phone (205) 331-4369

Other identifiers 2

IdentifierTypeStateIssuer
1-068592OtherALALABAMA BOARD OF NURSING - NURSE PRACTITIONER LICENSE
3386699OtherALAMERICAN NURSES CREDENTIALING CENTER- FNP CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000525 AL Practitioner - Nurse Practitioner 6406932631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

907 31St St E
Suite a
Tuscaloosa, AL 35405-2507
Phone (205) 331-4369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrod Family Medical Clinic, LLC Single Specialty CurrentSince Feb 13, 2025 Accepting new patients

Locations

907 31st St E
#A
Tuscaloosa, AL 35405
Phone (205) 331-4369

Organizations & group practices 1

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1720265341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 31ST ST E STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052507",
            "telephone_number": "205-331-4369",
            "fax_number": "205-331-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 31ST ST E STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052507",
            "telephone_number": "205-331-4369",
            "fax_number": "205-331-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "PRELINCA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-068592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING - NURSE PRACTITIONER LICENSE",
            "identifier": "1-068592",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER- FNP CERTIFICATION",
            "identifier": "3386699",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.