Active NPI
Sherine Campbell
- Family Nurse Practitioner
- Cortlandt Manor, NY
National Provider Identifier
1902340284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340927-1
- Practice address
- 1978 Crompond Rd
Cortlandt Manor, NY 10567-4111 - Phone
- (914) 739-2121
- NPI assigned
- Dec 6, 2016
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F340927-1 | NY | Primary |
Addresses
Primary practice location
1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Mailing address
110 S Bedford Road
Caremount Medical, PC
Mount Kisco, NY 10549
Phone (914) 241-1050
Other practice location 1
60 Merritt Blvd
Fishkill, NY 12524-2990
Phone (845) 765-4990
Other practice location 2
3680 Hill Blvd
Jefferson Valley, NY 10535-1500
Phone (914) 241-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04670339 | Medicaid | NY |
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 |
|---|---|---|---|
| F340927-1 | NY | MD | Family Nurse Practitioner |
| 340927 | NY | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- srcampbell@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902340284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD ROAD",
"address_2": "CAREMOUNT MEDICAL, PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-241-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1978 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674111",
"telephone_number": "914-739-2121"
}
],
"practiceLocations": [
{
"address_1": "60 Merritt Blvd",
"address_purpose": "LOCATION",
"city": "Fishkill",
"state": "NY",
"postal_code": "125242990",
"country_code": "US",
"telephone_number": "845-765-4990",
"fax_number": "845-223-5442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3680 Hill Blvd",
"address_purpose": "LOCATION",
"city": "Jefferson Valley",
"state": "NY",
"postal_code": "105351500",
"country_code": "US",
"telephone_number": "914-241-1050",
"fax_number": "914-739-2185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F340927-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04670339",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.