Active NPI
Sherill Ciampa, NP
- Nurse Practitioner
- North Conway, NH
National Provider Identifier
1881663391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 060023-23
- Practice address
- 3073 White Mountain Hwy.
North Conway, NH 03860-5111 - Phone
- (603) 356-5472
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 147797 | MA | |
| Nurse Practitioner | 363L00000X | 060023-23 | NH | Primary |
| Family Nurse Practitioner | 363LF0000X | 147797 | MA |
Addresses
Primary practice location
3073 White Mountain Hwy.
North Conway, NH 03860-5111
Mailing address
P.O. Box 2540
North Conway, NH 03860-2540
Phone (603) 356-5472
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39340 | Other | MA | HARVARD PILGRIM |
| 0317284 | Medicaid | MA | |
| NP3979 | Other | MA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060023-23 | NH | MD | Nurse Practitioner |
| 147797 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWV Health Care Assoc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- N Conway, NH
- NPI 1235131798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1881663391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2540",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038602540",
"telephone_number": "603-356-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 WHITE MOUNTAIN HWY.",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038605111",
"telephone_number": "603-356-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAMPA",
"first_name": "SHERILL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "147797",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "060023-23",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "147797",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "39340",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0317284",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NP3979",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.