Active NPI
Sheryl L Neely, APRN
- Nurse Practitioner
- Nowata, OK
National Provider Identifier
1952641045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 65870
- Practice address
- 712 E Osage Ave
Nowata, OK 74048-3638 - Phone
- (918) 273-0140
- Fax
- (918) 273-0147
- NPI assigned
- Feb 26, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 65870 | OK | Primary |
Addresses
Primary practice location
712 E Osage Ave
Nowata, OK 74048-3638
Mailing address
712 E Osage Ave
Nowata, OK 74048-3638
Phone (918) 273-0140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204000236 | OK | Order and Referring Only - Nurse Practitioner | 5294039749 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65870 | OK | MD | Nurse Practitioner |
Interoperability endpoints
- sheryl.neely@direct.stjohnhealthsystem.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1952641045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 E OSAGE AVE",
"city": "NOWATA",
"state": "OK",
"postal_code": "740483638",
"telephone_number": "918-273-0140",
"fax_number": "918-273-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E OSAGE AVE",
"city": "NOWATA",
"state": "OK",
"postal_code": "740483638",
"telephone_number": "918-273-0140",
"fax_number": "918-273-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "SHERYL",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "65870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nowata, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.