Organization Active NPI

Dr. Monique M Sherrill, LLC

  • Clinic/Center
  • Fort Payne, AL
National Provider Identifier
1790257459
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. MONIQUE M SHERRILL, LLC
Practice address
1202 Gault Ave N
Fort Payne, AL 35967-3040
Phone
(256) 997-3434
NPI assigned
Dec 19, 2018
Last updated
Dec 27, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. MONIQUE M. SHERRILL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Lisa Westfall
Title
Administration
Phone
(256) 997-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1202 Gault Ave N
Fort Payne, AL 35967-3040

Mailing address

906 Driver LN NW
Fort Payne, AL 35967-8212
Phone (256) 997-3434

National Provider Directory

National Provider Directory
Part of
Dr Monique M Sherrill LLC

Locations

1202 Gault Ave N
Fort Payne, AL
Phone (256) 273-6827

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1790257459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DRIVER LN NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359678212",
            "telephone_number": "256-997-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673040",
            "telephone_number": "256-997-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MONIQUE M SHERRILL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. MONIQUE M. SHERRILL LLC",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "256-997-7466"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.