Sherry R Noble, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Berry, AL
NPI 1982246708 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1982246708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-112903 (AL)
- Practice address
- 22508 Rufus Johns Rd
Berry, AL 35546-3908 - Phone
- (334) 444-7038
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
691 Shoal Creek Dr
Deatsville, AL 36022-3486
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220921002437 | AL | Practitioner - Nurse Practitioner | 5597140988 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-112903 | AL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-112903 | AL | Yes |
Addresses
Primary practice location
22508 Rufus Johns Rd
Berry, AL 35546-3908
Mailing address
22508 Rufus Johns Rd
Berry, AL 35546-3908
Phone (334) 444-7038
Other providers in Berry, AL
- Berry Discount Apothecary
- C&D Pharmaceuticals Berry
- FMC Medical Clinic - Berry LLC
- Charles Kenneth Lloyd
- Kristin Moudry
- T and K Pharmacy, Inc.
All providers in Berry, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.