Sherry Renea Wall, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN173987 Issued in GA

Practice address

1090 Goat Spring Road
Taos, NM 87571

Phone

(575) 758-4224

Fax

(575) 751-5210

NPI assigned

Dec 16, 2009

Last updated

Dec 16, 2009By the provider in NPPES

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1841529013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1946",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711946",
            "telephone_number": "575-758-4224",
            "fax_number": "575-751-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 GOAT SPRING ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-4224",
            "fax_number": "575-751-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SHERRY",
        "middle_name": "RENEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN173987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Wagner, D.O.M.
• Howard Waitzkin, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0873)
• Walgreen Co (Walgreens #12751)
• Mary Elizabeth Wall
• Sarah Waller
• John Michael Walsh, SCHOOL PSYCHOLOGIST
• Susan Warner
• Ellen Rhea Warren, MD
• Randal Lynn Watt, PHARMD

• Ambulatory Care Registered Nurse in Taos, NM
• Providers in Taos, NM by specialty
• Ambulatory Care Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.