MS. SHERRI SUE ALBERTSON


Address: 2710 Lake Ave, Fort Wayne, IN 46805-5412
Phone: 2604719440

MS. SHERRI SUE ALBERTSON (NPI# 1609437425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609437425
Entity Type Individual
Full Name MS. SHERRI SUE ALBERTSON
Credential PMHNP BC
Practice Address 2710 Lake Ave
Fort Wayne
IN 46805-5412
Mailing Address 909 E State Blvd
Fort Wayne
IN 46805-3458
Practice Telephone 2604719440
Mailing Telephone 2604812740
Mailing Fax Number 2604812717
Enumeration Date 2019-06-24
Last Update Date 2019-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
71009056A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2710 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457349201 Mark C. Dickmeyer Family Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2005-10-06
1134555634 Deborah Abaitey Pediatrics 2710 Lake Ave, Fort Wayne, IN 46805-5412 2013-09-17
1568808160 Kayla Bauman Nurse Practitioner 2710 Lake Ave, Fort Wayne, IN 46805-5412 2013-05-22
1174885040 Brianna M Serbus Family Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2012-06-15
1407923451 Parkview Health System, Inc. Durable Medical Equipment & Medical Supplies 2710 Lake Ave, Fort Wayne, IN 46805-5412 2006-11-28
1548349871 Wiacheslaw William Fedoriw Pediatrics 2710 Lake Ave, Fort Wayne, IN 46805-5412 2006-11-06
1164409579 Donald B. Marshall II Family Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2005-12-28
1336126895 Steven J. Mooibroek Internal Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2005-12-27
1760469233 Mark A. Pierce Internal Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2005-12-27
1871579441 Cheryl L. Hess Family Medicine 2710 Lake Ave, Fort Wayne, IN 46805-5412 2005-12-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033742184 Hamutyinei H Mamutse Nurse Practitioner 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 2020-02-18
1598395238 Werner R Wolff Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2020-01-22
1083255855 Melissa Ann Terry Nurse Practitioner 909 E State Blvd, Fort Wayne, IN 46805-3458 2019-10-03
1710347059 Krista Thornberry Nurse Practitioner 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2016-02-29
1639103153 Irene T Hoover Nurse Practitioner 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548875669 Brooke Lavignette Nurse Practitioner 1805 Summit Dr, West Lafayette, IN 47906-2231 2020-09-15
1205444775 Anu Abraham Ade Owofadeju Nurse Practitioner 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 2020-07-21
1356959068 Indy Behavioral Health LLC Nurse Practitioner 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 2020-07-20
1942833306 Osasumwen Igbinoba Nurse Practitioner 402 Wall St Ste 23, Valparaiso, IN 46383-2567 2020-02-13
1770114118 Abbey Bolden Nurse Practitioner 929 Miller Ct, Greenfield, IN 46140-7267 2020-02-03
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1700430006 Lusine Vardanyan Nurse Practitioner Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 2019-07-25
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
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Competitor

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City FORT WAYNE
Zip Code 46805

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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