Sherry Leigh Wall, MSN RN-ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

641733 Issued in TX

Practice address

303 N McKinney
Suite C
Sueeny, TX 77480

Phone

(979) 205-9028

Fax

(979) 548-2508

NPI assigned

Aug 18, 2008

Last updated

Nov 24, 2020By the provider in NPPES

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 names 1

• Miss Sherry Leigh Cook Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• George W Deleon MD PA

  • Pain Clinic/Center
  • Sweeny, TX
  • NPI 1497962344
  NPD
• David T. Barr, MD PA

  • Clinic/Center
  • Sweeny, TX
  • NPI 1326377201
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1083860480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N MCKINNEY",
            "address_2": "SUITE C",
            "city": "SUEENY",
            "state": "TX",
            "postal_code": "77480",
            "telephone_number": "979-205-9028",
            "fax_number": "979-548-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MCKINNEY",
            "address_2": "SUITE C",
            "city": "SUEENY",
            "state": "TX",
            "postal_code": "77480",
            "telephone_number": "979-205-9028",
            "fax_number": "979-548-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SHERRY",
        "middle_name": "LEIGH",
        "name_prefix": "Mr.",
        "credential": "MSN RN-ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "641733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "COOK",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.