Sherry Lynn Perdue, BS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001811 Issued in CO

Practice address

661 W Capistrano Ave
Pueblo West, CO 81007-7036

Phone

(719) 429-3476

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1821545971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W CAPISTRANO AVE",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077036",
            "telephone_number": "719-429-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W CAPISTRANO AVE",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077036",
            "telephone_number": "719-429-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BS, LAT,  ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentford Allen Overton, M.S.P.T.
• Parkview Medical Center, Inc.
• Parkview Medical Center, Inc.
• Susan Nicole Patino, FNP
• Mary Patten, BSN, RN, DNP, FNP
• Pikes Peak Diagnostics LLC
• Laura Pilger
• Faith G Pitts
• Earl Ross Poteet, LCSW
• Poudre Valley Medical Group, LLC

• Athletic Trainer in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Athletic Trainer in Colorado

• 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.