Active NPI
Sherry Elaine Reid, R.N.
- Psychiatric/Mental Health Registered Nurse
- Clinton, OK
National Provider Identifier
1861508012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- ROO41733
- Practice address
- 90 North 31St STR
Clinton, OK 73601-9116 - Phone
- (580) 323-6021
- Fax
- (580) 323-5635
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | ROO41733 | OK | Primary |
Addresses
Primary practice location
90 North 31St STR
Clinton, OK 73601-9116
Mailing address
1308 Gholston Ave
Clinton, OK 73601-5104
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ROO41733 | OK | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861508012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 GHOLSTON AVE",
"city": "CLINTON",
"state": "OK",
"postal_code": "736015104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 NORTH 31ST STR",
"city": "CLINTON",
"state": "OK",
"postal_code": "736019116",
"telephone_number": "580-323-6021",
"fax_number": "580-323-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "SHERRY",
"middle_name": "ELAINE",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OK",
"license": "ROO41733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.