Active NPI
Robert Singleton Sherrard Jr.
- General Practice Registered Nurse
- Charleston, WV
National Provider Identifier
1790425130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 83606
- Practice address
- 930 Ridgemont Rd
Charleston, WV 25314-1136 - Phone
- (304) 346-1466
- NPI assigned
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 83606 | WV | Primary |
Addresses
Primary practice location
930 Ridgemont Rd
Charleston, WV 25314-1136
Mailing address
930 Ridgemont Rd
Charleston, WV 25314-1136
Phone (304) 346-1466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83606 | Other | WV | WEST VIRGINIA BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83606 | WV | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1790425130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 RIDGEMONT RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141136",
"telephone_number": "304-346-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 RIDGEMONT RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141136",
"telephone_number": "304-346-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRARD",
"first_name": "ROBERT",
"middle_name": "SINGLETON",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WV",
"license": "83606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES",
"identifier": "83606",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.