Active NPI
Mersheta Sherrell Webb, REGISTERED NURSE
- Community Health Registered Nurse
- Honea Path, SC
National Provider Identifier
1760915128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 205706
- Practice address
- 178 Cathy LN
Honea Path, SC 29654-7932 - Phone
- (864) 933-1794
- NPI assigned
- Apr 4, 2017
- Last updated
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 205706 | SC | Primary |
Addresses
Primary practice location
178 Cathy LN
Honea Path, SC 29654-7932
Mailing address
178 Cathy LN
Honea Path, SC 29654-7932
Phone (864) 933-1794
Other names 1
- Mersheta Sherrell Thomas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205706 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1760915128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 CATHY LN",
"city": "HONEA PATH",
"state": "SC",
"postal_code": "296547932",
"telephone_number": "864-933-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CATHY LN",
"city": "HONEA PATH",
"state": "SC",
"postal_code": "296547932",
"telephone_number": "864-933-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MERSHETA",
"middle_name": "SHERRELL",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "205706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MERSHETA",
"last_name": "THOMAS",
"middle_name": "SHERRELL",
"credential": "REGISTERED NURSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honea Path, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.