Active NPI
Sheryll A. Jeffers, NP
- Family Nurse Practitioner
- Tomball, TX
National Provider Identifier
1124086566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001856A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1137036 | Other | TX | TEXAS NP LICENSE |
| 301733 | Other | AZ | ARIZONA BOARD OF NURSING |
| 71001856A | Other | IN | INDIANA NP LICENSE |
| 200809760 | Medicaid | IN | |
| 11558545 | Other | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 301733 | AZ | MD | Family Nurse Practitioner |
| 71001856A | IN | MD | Family Nurse Practitioner |
| 1137036 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1649220195
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.