Healthcare Provider Details

I. General information

NPI: 1558217851
Provider Name (Legal Business Name): SHERRY WARNER CRPS, NCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 WHITE RABBIT RUN
ST AUGUSTINE FL
32092-0191
US

IV. Provider business mailing address

65 WHITE RABBIT RUN
ST AUGUSTINE FL
32092-0191
US

V. Phone/Fax

Practice location:
  • Phone: 407-638-8180
  • Fax:
Mailing address:
  • Phone: 407-638-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberNCPS.0100081
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberCRPS100248-F
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: