Active NPI
Sherry Elaine Hopper
- Family Nurse Practitioner
- Corbin, KY
National Provider Identifier
1982105912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012093
- Practice address
- 1419 Cumberland Falls Hwy
Corbin, KY 40701-2722 - Phone
- (606) 528-4481
- NPI assigned
- Feb 25, 2018
- 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 | 3012093 | KY | Primary |
Addresses
Primary practice location
1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Mailing address
100 Canary Circle
Corbin, KY 40701
Phone (606) 280-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100516590 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012093 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1982105912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CANARY CIRCLE",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-280-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 CUMBERLAND FALLS HWY",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012722",
"telephone_number": "606-528-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPER",
"first_name": "SHERRY",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-25",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100516590",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.