Active NPI
Sherry Lynn Mathes, NP-C
- Family Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1104138064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1023043
- Practice address
- 12730 W Ih 10 Ste 306
San Antonio, TX 78230-1004 - Phone
- (210) 877-0772
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN188635NP | GA | |
| Family Nurse Practitioner | 363LF0000X | 1023043 | TX | Primary |
Addresses
Primary practice location
12730 W Ih 10 Ste 306
San Antonio, TX 78230-1004
Mailing address
12730 W Ih 10 Ste 306
San Antonio, TX 78230-1004
Phone (210) 877-0772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN188635 | Other | GA | GEORGIA STATE BOARD OF NURSING |
| 1023043 | Other | TX | TEXAS BOARD OF NURSING |
Other names 1
- Sherry Lynn Gill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188635NP | GA | MD | Family Nurse Practitioner |
| 1023043 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Healthnet Medical Clinic LTD. | Current | Accepting new patients |
Interoperability endpoints
- sherry.mathes.1@32896.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1578631040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1104138064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12730 W IH 10 STE 306",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301004",
"telephone_number": "210-877-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12730 W IH 10 STE 306",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301004",
"telephone_number": "210-877-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHES",
"first_name": "SHERRY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN188635NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1023043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE BOARD OF NURSING",
"identifier": "RN188635",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "1023043",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "GILL",
"middle_name": "LYNN",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.