Active NPI
Cherry Sherlyn Elmore, FNP
- Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1780748640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20744
- Practice address
- 5385 Franklin Blvd
Sacramento, CA 95820-4717 - Phone
- (916) 452-7305
- Fax
- (916) 452-9753
- NPI assigned
- Dec 21, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 548255 | CA | |
| Community Health Registered Nurse | 163WC1500X | 548255 | CA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 548255 | CA | |
| Nurse Practitioner | 363L00000X | 20744 | CA | Primary |
Addresses
Primary practice location
5385 Franklin Blvd
Sacramento, CA 95820-4717
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR157Z | Other | CA | MEDICARE PTAN |
Other names 1
- Cherry Johnson
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548255 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1780748640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-795-3600",
"fax_number": "408-287-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 FRANKLIN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958204717",
"telephone_number": "916-452-7305",
"fax_number": "916-452-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "CHERRY",
"middle_name": "SHERLYN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "548255",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "548255",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CA",
"license": "548255",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "20744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GR157Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERRY",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.