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JACQUELINE M SHERRY RN CS NPI 1225001480


NPI Information

NPI: 1225001480
Provider Name: JACQUELINE M SHERRY, RN CS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MASSACHUSETTS INSTITUTE OF TECHNOLOGY

PECOS Registration: Yes

Address:
77 MASS AVE
E23-395 MEDICAL
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 253-0556
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Jacqueline M Sherry, RN CS is an adult health nurse practitioner in Cambridge, MA with 42 years of experience. Jacqueline M Sherry, RN CS NPI is 1225001480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

77 MASS AVE
E23-395 MEDICAL
CAMBRIDGE, MA
ZIP 02139-301
Phone: (617) 253-0556

The NPI 1225001480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health128116MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NP9829OTHERMASSACHUSETTSBLUE CROSS
2P85095MEDICARE UPIN
3NP4120MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.