Active NPI
Sheree Genevieve Urich, LMT
- Specialist
- Port Orange, FL
National Provider Identifier
1891978185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA24116
- Practice address
- 1304 Osprey Nest LN
Port Orange, FL 32128-7160 - Phone
- (386) 767-6907
- NPI assigned
- Dec 10, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA24116 | FL | Primary |
Addresses
Primary practice location
1304 Osprey Nest LN
Port Orange, FL 32128-7160
Mailing address
1304 Osprey Nest LN
Port Orange, FL 32128-7160
Phone (386) 767-6907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68116796 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA24116 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1891978185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 OSPREY NEST LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287160",
"telephone_number": "386-767-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 OSPREY NEST LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287160",
"telephone_number": "386-767-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URICH",
"first_name": "SHEREE",
"middle_name": "GENEVIEVE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA24116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68116796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.