Individual provider Active NPI

Sperry Binnicker

  • Primary Care Nurse Practitioner
  • Willow Park, TX
National Provider Identifier
1073994448
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP128375 Issued in TX
Practice address
136 El Chico TRL
Ste 102
Willow Park, TX 76087-8863
Phone
(817) 441-5412
Fax
(817) 441-9354
NPI assigned
Jun 11, 2015
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 772688 TX
Primary Care Nurse Practitioner 363LP2300X AP128375 TX Primary

Addresses

Primary practice location

136 El Chico TRL
Ste 102
Willow Park, TX 76087-8863

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6163

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbinnicker12455@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527000803 TX Practitioner - Nurse Practitioner 4880072107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network CurrentSince Jun 19, 2022 Accepting new patients
Cook Children's Physician Network CurrentSince Jun 19, 2022 Accepting new patients

Locations

750 8th Ave
Ste 200
Ft Worth, TX 76104
Phone (682) 885-2170

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: sbinnicker12455@cookchildrens.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1073994448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6163",
            "fax_number": "682-885-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 EL CHICO TRL",
            "address_2": "STE 102",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878863",
            "telephone_number": "817-441-5412",
            "fax_number": "817-441-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNICKER",
        "first_name": "SPERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "772688",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP128375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbinnicker12455@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "136 El Chico Trl",
            "address_2": "STE 102",
            "city": "Willow Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760878863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

Verify at the official NPI Registry.