Organization Active NPI

Sheryl J Cipollini LLC

  • Family Nurse Practitioner
  • Pahrump, NV
National Provider Identifier
1790300465
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SHERYL J CIPOLLINI LLC
Practice address
1360 E Nevada Highway 372 Ste 5
Pahrump, NV 89048-2188
Phone
(775) 877-9500
Fax
(936) 244-4620
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Sheryl J Cipollini, APRNNPI 1962865717
Title
Owner
Phone
(775) 513-0614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1360 E Nevada Highway 372 Ste 5
Pahrump, NV 89048-2188

Mailing address

1360 E Nevada Highway 372 Ste 5
Pahrump, NV 89048-2188
Phone (775) 877-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200713002394 NV Part B Supplier - Clinic/Group Practice 6406279207 Receives reassigned benefits from 1 practitioner
Practice locations: Pahrump, NV

National Provider Directory

National Provider Directory

Locations

1360 E Nevada Highway 372
Ste 5
Pahrump, NV 89048
Phone (775) 505-8007

2161 S Nevada Highway 160
Ste 6
Pahrump, NV 89048
Phone (775) 877-9500

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1790300465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E NEVADA HIGHWAY 372 STE 5",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482188",
            "telephone_number": "775-877-9500",
            "fax_number": "936-244-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E NEVADA HIGHWAY 372 STE 5",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482188",
            "telephone_number": "775-877-9500",
            "fax_number": "936-244-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL J CIPOLLINI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "CIPOLLINI",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-513-0614",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.