Active NPI
Marsha Malloy Sherer, RN
- Psychiatric/Mental Health Registered Nurse
- Bangor, ME
National Provider Identifier
1922418896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 44804RN
- Practice address
- 42 Cedar St
Bangor, ME 04401-6433 - Phone
- (207) 947-0366
- NPI assigned
- May 1, 2014
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 44804RN | ME | Primary |
Addresses
Primary practice location
42 Cedar St
Bangor, ME 04401-6433
Mailing address
123 Meadow Rd
Winterport, ME 04496-4036
Phone (207) 930-0266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101750000 | Other | ME | MAINE CARE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44804RN | ME | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1922418896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MEADOW RD",
"city": "WINTERPORT",
"state": "ME",
"postal_code": "044964036",
"telephone_number": "207-930-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CEDAR ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016433",
"telephone_number": "207-947-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERER",
"first_name": "MARSHA",
"middle_name": "MALLOY",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "ME",
"license": "44804RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "101750000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.