Sherry Elizabeth Johnson, B.S., R.N. M.S. PHD

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

171110 Issued in MA

Practice address

200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671

Phone

(781) 878-6543

Fax

(781) 871-0306

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

Practice roles

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.

• Sherry E. Johnson, P.C.

  • Psychiatric/Mental Health Registered Nurse
  • Norwell, MA
  • NPI 1952480352

  Psychiatric/Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750460879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR",
            "address_2": "SUITE 202",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "781-878-6543",
            "fax_number": "781-871-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR",
            "address_2": "SUITE 202",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "781-878-6543",
            "fax_number": "781-871-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHERRY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "B.S., R.N. M.S. PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "171110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "PN0004",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K. Bertoncini, Licsw, LLC.
• Seong Wook Jeong, D.M.D
• JK Dental Group, P.C.
• Joel a Leonard DMD
• Seth Hayward Johnson
• Tayla Johnson
• John Joseph Johnston, PT
• Nevaeh Angel Jolliemore
• Diana Julien
• Jy Optical Group

• Psychiatric/Mental Health Registered Nurse in Norwell, MA
• Providers in Norwell, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.