Individual provider Active NPI

Sherri L Sedler, M.S.

  • Student in an Organized Health Care Education/Training Program
  • Sonora, CA
National Provider Identifier
1720570633
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
103 S Forest Rd
Sonora, CA 95370-4895
Phone
(209) 533-1699
Fax
(209) 532-0699
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

103 S Forest Rd
Sonora, CA 95370-4895

Mailing address

3630 Rainbow Way
Angels Camp, CA 95222-9797
Phone (209) 743-2994

Other practice location 1

23 West St. Charles
San Andreas, CA 95249
Phone (209) 390-8585

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Creek Psychological Group, Apc PastSince Mar 16, 2016 Accepting new patients

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1720570633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 RAINBOW WAY",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952229797",
            "telephone_number": "209-743-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S FOREST RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704895",
            "telephone_number": "209-533-1699",
            "fax_number": "209-532-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 West St. Charles",
            "address_purpose": "LOCATION",
            "city": "San Andreas",
            "state": "CA",
            "postal_code": "95249",
            "country_code": "US",
            "telephone_number": "209-390-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLER",
        "first_name": "SHERRI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.