Ann Sheridan, L.P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704 Issued in NM

Practice address

3212 1/2 La Avenida de San Marcos
Santa Fe, NM 87507-9250

Phone

(505) 474-9746

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2010.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1780907139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 1/2 LA AVENIDA DE SAN MARCOS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079250",
            "telephone_number": "505-474-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 1/2 LA AVENIDA DE SAN MARCOS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079250",
            "telephone_number": "505-474-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRSID",
            "identifier": "02-953565-00-4",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Shelton, CSW
• Diane Shenk, LMT
• Blair W Shepard
• Lori Diane Shepard, LCSW
• John Sherdon, DOM, LIC. AC.
• Jerah Sherman
• Michael J. Sherman
• Victor L Sherman, M.D.
• Alanna Sherstad-Ray, LCSW
• Lauren Sherwood

• All providers in Santa Fe, NM
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.