Individual provider Active NPI

Sherry Delane Harper, FNP-C

  • Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1720664741
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903996 Issued in MS
Practice address
308 Belvedere Dr
Pearl, MS 39208-8916
Phone
(601) 408-0427
NPI assigned
Mar 21, 2021
Last updated
Mar 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903996 MS Primary

Addresses

Primary practice location

308 Belvedere Dr
Pearl, MS 39208-8916

Mailing address

308 Belvedere Dr
Pearl, MS 39208-8916
Phone (601) 407-0427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211214001423 MS Practitioner - Nurse Practitioner 0547650194 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903996MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchoring Hearts Healthcare CurrentSince Mar 28, 2021 Accepting new patients
McKinley's Care LLC Current Accepting new patients
Conx Care Corporation Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1720664741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 BELVEDERE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088916",
            "telephone_number": "601-407-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BELVEDERE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088916",
            "telephone_number": "601-408-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "SHERRY",
        "middle_name": "DELANE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.