Individual provider Active NPI

Kierra Shanae Sherron

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1871117531
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
11569 Short Iron LN
Indianapolis, IN 46235-9101
Phone
(317) 610-9657
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

11569 Short Iron LN
Indianapolis, IN 46235-9101

Mailing address

11569 Short Iron LN
Indianapolis, IN 46235-9101
Phone (317) 610-9657

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/a

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1871117531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11569 SHORT IRON LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462359101",
            "telephone_number": "317-610-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11569 SHORT IRON LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462359101",
            "telephone_number": "317-610-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRON",
        "first_name": "KIERRA",
        "middle_name": "SHANAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Na",
            "address_1": "11569 Short Iron Ln",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462359101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.