Individual provider Active NPI

Christopher Andrew Sheridan, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1124756598
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
858228 Issued in NV
Practice address
21 W Horizon Ridge Pkwy
Henderson, NV 89012-5307
Phone
(859) 420-5066
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 858228 NV Primary

Addresses

Primary practice location

21 W Horizon Ridge Pkwy
Henderson, NV 89012-5307

Mailing address

21 W Horizon Ridge Pkwy
Henderson, NV 89012-5307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230303001960 NV Practitioner - Nurse Practitioner 5890168314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians

Practice addresses (Care Compare)

1135 Vitality Dr
Suite 120
Henderson, NV 89011-4809
Phone (702) 359-7403

Hospital & facility affiliations

  • Physicians Choice Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
858228NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khakwani Medical Corporation, PC CurrentSince Dec 11, 2023 Accepting new patients
Khakwani Medical Corporation, PC CurrentSince Dec 11, 2023 Accepting new patients
Yang Medical Services, PLLC CurrentSince Nov 8, 2023 Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Khakwani Medical Corporation, PC PastSince Aug 28, 2022 Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Ucxtra Umbrella, LLC PastSince Oct 1, 2023 Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients

Locations

366 W Lake Mead Pkwy
Ste 100
Henderson, NV 89015
Phone (702) 359-5210

2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074

1135 Vitality Dr
Ste 120
Henderson, NV 89011
Phone (702) 359-7403

2231 N Green Valley Pkwy
#B
Henderson, NV 89014
Phone (702) 766-1972

6525 N Decatur Blvd
Ste 150B
Las Vegas, NV 89131
Phone (702) 979-5903

10040 Alta Dr
Ste 100B
Las Vegas, NV 89145
Phone (702) 960-0689

3140 S Durango Dr
Ste 100B
Las Vegas, NV 89117
Phone (702) 273-3680

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

6958 W Ann Rd
#B
Las Vegas, NV 89130
Phone (702) 444-2397

4950 W Sahara Ave
Ste 100B
Las Vegas, NV 89146
Phone (702) 577-9773

6975 Aliante Pkwy
Ste 101B
North Las Vegas, NV 89084
Phone (702) 867-0087

Interoperability endpoints

  • Direct secure messaging: csheridan228949@pdshealth.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1124756598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125307",
            "telephone_number": "859-420-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "858228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.