Sarah E. Herndon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2006-00062 Issued in NC

Practice address

6911 Shannon Willow Rd Ste 100
Charlotte, NC 28226-1347

Phone

(704) 529-4101

Fax

(704) 529-6655

NPI assigned

Aug 10, 2006

Last updated

Nov 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• North Carolina Neuropsychiatry

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
  • NPI 1811204217
  NPD (past)
• North Carolina Neuropsychiatry, P.a.

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1265403042
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1861403339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261347",
            "telephone_number": "704-529-4101",
            "fax_number": "704-529-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261347",
            "telephone_number": "704-529-4101",
            "fax_number": "704-529-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "SARAH",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2006-00062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Capra Poletti Hernandez, BCBA, LBA
• Luis Ariel Hernandez
• Natalie Kate Hernandez
• Nicol Hernandez
• Ashley Herndon
• Steve Herndon
• William Mauney Herndon Jr., MD
• Hero Ventures PLLC
• Hero's Home Care LLC
• Kathryn L Herold, LMBT

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.