Sherry Sue Smiley, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45075 Issued in KS

Practice address

1301 W 12TH Ave
Suite 301
Emporia, KS 66801-2587

Phone

(620) 343-2376

Fax

(620) 343-0095

NPI assigned

Jul 19, 2006

Last updated

Jan 19, 2017By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1881613016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "address_2": "SUITE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-343-2376",
            "fax_number": "620-343-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "address_2": "SUITE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-2376",
            "fax_number": "620-343-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "SHERRY",
        "middle_name": "SUE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388960B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "161060",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00057490",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari S Sippola, LPC
• Timothy Sippola, PH.D.
• Gina M Slayden
• Clay Ashley Sligh, D.D.S.
• Scott A Smiley, MD
• Smith Agency LLC (Georgeann Smith)
• Cory Smith
• Kiersten Ellen Smith
• Lane Dalton Smith, D.C.
• Madison Smith

• Family Nurse Practitioner in Emporia, KS
• Providers in Emporia, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.