Active NPI
Sheranda Letieese Stott
- Respite Care
- Greenwood, IN
National Provider Identifier
1972396885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 1629 Pinetree Way East
Apt E
Greenwood, IN 46143 - Phone
- (463) 279-0310
- NPI assigned
- May 23, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | IN | ||
| Community/Behavioral Health Agency | 251S00000X | IN | ||
| Respite Care | 385H00000X | IN | Primary |
Addresses
Primary practice location
1629 Pinetree Way East
Apt E
Greenwood, IN 46143
Mailing address
1629 Pinetree Way East
Apt E
Greenwood, IN 46143
Phone (463) 279-0310
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1972396885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 PINETREE WAY EAST",
"address_2": "APT E",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "46143",
"telephone_number": "463-279-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 PINETREE WAY EAST",
"address_2": "APT E",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "46143",
"telephone_number": "463-279-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "SHERANDA",
"middle_name": "LETIEESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.