Individual provider Active NPI

Sheryll A. Jeffers, NP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1124086566
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001856A Issued in IN
Practice address
16131 N Eldridge Pkwy Ste 200
Tomball, TX 77377-9130
Phone
(713) 598-8729
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 301733 AZ
Family Nurse Practitioner 363LF0000X 1137036 TX
Family Nurse Practitioner 363LF0000X 71001856A IN Primary

Addresses

Primary practice location

16131 N Eldridge Pkwy Ste 200
Tomball, TX 77377-9130

Mailing address

549 E County Line Rd Ste D
Greenwood, IN 46143-1068
Phone (317) 300-9674

Other practice location 1

549 E County Line Rd Ste D
Greenwood, IN 46143-1068
Phone (317) 300-9674

Other identifiers 5

IdentifierTypeStateIssuer
1137036OtherTXTEXAS NP LICENSE
301733OtherAZARIZONA BOARD OF NURSING
71001856AOtherININDIANA NP LICENSE
200809760MedicaidIN
11558545OtherCAQH

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301733AZMDFamily Nurse Practitioner
71001856AINMDFamily Nurse Practitioner
1137036TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Group LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1124086566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E COUNTY LINE RD STE D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431068",
            "telephone_number": "317-300-9674",
            "fax_number": "317-962-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PKWY STE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773779130",
            "telephone_number": "713-598-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 E County Line Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431068",
            "country_code": "US",
            "telephone_number": "317-300-9674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "SHERYLL",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "301733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001856A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NP LICENSE",
            "identifier": "1137036",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING",
            "identifier": "301733",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA NP LICENSE",
            "identifier": "71001856A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200809760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11558545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.