Individual provider Active NPI

Sally John, NP-FAMILY

  • Family Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1114415288
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136433 Issued in TX
Practice address
289 Talbot LN
Sunnyvale, TX 75182-3221
Phone
(469) 682-1955
NPI assigned
Apr 24, 2018
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136433 TX Primary

Addresses

Primary practice location

289 Talbot LN
Sunnyvale, TX 75182-3221

Mailing address

289 Talbot LN
Sunnyvale, TX 75182-3221

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
I20200408003086 TX Practitioner - Nurse Practitioner 3274962584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136433TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Mar 29, 2023 Accepting new patients
Talvah LLC CurrentSince Mar 1, 2020 Accepting new patients
Dallas County Hospital District Family CurrentSince Mar 29, 2023 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients

Locations

5899 Preston Rd
Ste 1003
Frisco, TX 75034
Phone (469) 888-6575

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

8201 Ohio Dr
Ste 112
Plano, TX 75024
Phone (214) 738-2632

Interoperability endpoints

  • Direct secure messaging: sjohn58068@direct.phhs.org

Organizations & group practices 5

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1114415288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 TALBOT LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 TALBOT LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823221",
            "telephone_number": "469-682-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SALLY",
        "credential": "NP-FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.