Active NPI
Olivia Sherriton
- Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1730754474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAX000017848.
- Practice address
- 306 SW 9TH St
Fort Lauderdale, FL 33315-3844 - Phone
- (954) 873-4605
- NPI assigned
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAX000017848. | FL | Primary |
Addresses
Primary practice location
306 SW 9TH St
Fort Lauderdale, FL 33315-3844
Mailing address
306 SW 9TH St
Fort Lauderdale, FL 33315-3844
Phone (195) 487-3460
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAX000017848. | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1730754474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SW 9TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333153844",
"telephone_number": "195-487-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SW 9TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333153844",
"telephone_number": "954-873-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRITON",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAX000017848.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.