Individual provider Active NPI

Sherry C Royster, NP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1811967896
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-063579 Issued in AL
Practice address
1120 Airport Dr Ste 102
Alexander City, AL 35010
Phone
(256) 234-3477
Fax
(256) 712-2104
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 1-063579 AL
Family Nurse Practitioner 363LF0000X 1-063579 AL Primary

Addresses

Primary practice location

1120 Airport Dr Ste 102
Alexander City, AL 35010

Mailing address

1120 Airport Dr Ste 102
Alexander City, AL 35010-3444
Phone (256) 234-3477

Other practice location 1

59 Alison Dr Ste 8
Alexander City, AL 35010-4411
Phone (256) 234-3477

Other practice location 2

3368 Hwy 280
Suite 111
Alexander City, AL 35010
Phone (256) 234-3477

Other practice location 3

59 Alison Dr Ste 8
Alexander City, AL 35010
Phone (256) 234-3477

Other identifiers 1

IdentifierTypeStateIssuer
187062MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherry.royster@brefai.cernerdirect.com

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
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-063579ALMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Medical Clinic, PC PastSince Nov 10, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGGBDA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1811967896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR STE 102",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103444",
            "telephone_number": "256-234-3477",
            "fax_number": "256-712-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR STE 102",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-234-3477",
            "fax_number": "256-712-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Alison Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Alexander City",
            "state": "AL",
            "postal_code": "350104411",
            "country_code": "US",
            "telephone_number": "256-234-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3368 Hwy 280",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Alexander City",
            "state": "AL",
            "postal_code": "35010",
            "country_code": "US",
            "telephone_number": "256-234-3477",
            "fax_number": "256-234-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Alison Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Alexander City",
            "state": "AL",
            "postal_code": "35010",
            "country_code": "US",
            "telephone_number": "256-234-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "SHERRY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "1-063579",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-063579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187062",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherry.royster@brefai.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Messaging",
            "address_1": "1120 Airport Dr Ste 102",
            "city": "Alexander City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350103444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.