Shertoria S Southward, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1-177077 Issued in AL

Practice address

4110 US Highway 31 S
Decatur, AL 35603-1644

Phone

(256) 260-7361

Fax

(256) 355-6092

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1770497059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SOMERVILLE RD SE STE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014309",
            "telephone_number": "256-260-7361",
            "fax_number": "256-355-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 US HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031644",
            "telephone_number": "256-260-7361",
            "fax_number": "256-355-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4204 US Highway 31 S",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356035000",
            "country_code": "US",
            "telephone_number": "256-355-6105",
            "fax_number": "256-355-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHWARD",
        "first_name": "SHERTORIA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-177077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Decatur, AL
• Providers in Decatur, AL by specialty
• Psychiatric/Mental Health Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.