Individual provider Active NPI

Sherry Payne-Sisney, MSW, LBSW

  • Social Worker
  • Fort Scott, KS
National Provider Identifier
1821377425
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7642 Issued in KS
Practice address
102 S Judson St
Fort Scott, KS 66701-3241
Phone
(620) 768-0142
Fax
(620) 768-0179
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7642 KS Primary

Addresses

Primary practice location

102 S Judson St
Fort Scott, KS 66701-3241

Mailing address

729 E 680TH Ave
Arcadia, KS 66711-4161
Phone (620) 347-8618

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

LicenseStateTypeSpecialty
7642KSMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1821377425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E 680TH AVE",
            "city": "ARCADIA",
            "state": "KS",
            "postal_code": "667114161",
            "telephone_number": "620-347-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S JUDSON ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013241",
            "telephone_number": "620-768-0142",
            "fax_number": "620-768-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-SISNEY",
        "first_name": "SHERRY",
        "credential": "MSW, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.