Sherry O'Leary, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN079569 Issued in AZ

Practice address

131 W Riverside Dr
Parker, AZ 85344-5221

Phone

(928) 669-6168

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona CVS Stores LLC

  • Pharmacy
  • Parker, AZ
  • NPI 1053355305
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1992380752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W RIVERSIDE DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445221",
            "telephone_number": "928-669-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W RIVERSIDE DR",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445221",
            "telephone_number": "928-669-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SHERRY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN079569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER COMMERCIAL",
            "identifier": "0353778",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053355305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Nofrada, RN
• Raquel Nopah, NURSE'S AIDE
• Laurence Martin Novick, MD
• Jesdeen Lynn Nunez
• Beverly O'Brallaghan, RN
• Stephanie A O'Neal, PT
• Nichelle Oakland
• Mohammad Walid Omary, DDS
• Cody Ray Paddock
• Staci Ann Page, PA-C

• Registered Nurse in Parker, AZ
• Providers in Parker, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.