Individual provider Active NPI

Sherron Kell, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1942568217
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14162 Issued in AL
Practice address
11060 E Jasmine Dr
Scottsdale, AZ 85255-2417
Phone
(650) 224-7038
Fax
(480) 502-8902
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14162 AL Primary
Internal Medicine Physician 207R00000X 26381 AZ
Internal Medicine Physician 207R00000X G86143 CA

Addresses

Primary practice location

11060 E Jasmine Dr
Scottsdale, AZ 85255-2417

Mailing address

11060 E Jasmine Dr
Scottsdale, AZ 85255-2417
Phone (650) 224-7038

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14162ALMDOncology Pharmacist
26381AZMDInternal Medicine Physician
G86143CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1942568217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 E JASMINE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552417",
            "telephone_number": "650-224-7038",
            "fax_number": "480-502-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 E JASMINE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552417",
            "telephone_number": "650-224-7038",
            "fax_number": "480-502-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "SHERRON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14162",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "26381",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G86143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.